Facial Contouring 3-in-1 Surgery: 18 Month Post-Op Review with Swelling Analysis by a Specialist
- Dr. Park
- Nov 30, 2024
- 2 min read
Hello, I'm Dr. Park Jong-chul, a specialist in oral and maxillofacial surgery. Are you considering facial contouring surgery in Korea? Many people desire a slimmer, more defined facial structure. Today, I'll provide an in-depth analysis of a patient's facial contouring 3-in-1 surgery journey, focusing on swelling changes from immediately post-op to 18 months later. This comprehensive review includes cheekbone reduction, jawline reduction, and chin reduction.
Pre-Surgery: Long Face and Wide Jawline Concerns
This patient wanted to address a long face, prominent cheekbones, and a wide jawline. Interestingly, while she had a large jaw, it wasn't prominent in photos due to its inward curvature.
3-in-1 Facial Contouring Surgery Plan
Chin Reduction (T-osteotomy): Shortened chin length by 3mm, maintained anterior-posterior position, reduced width by 5mm.
Jawline Reduction (Mandible Angle Ostectomy): Preserved the jaw angle while reducing the mandible angle and performing cortical bone resection.
Cheekbone Reduction (Zygoma Reduction): Reduced cheekbone prominence by 3mm, rotated 45 degrees inwards, and reduced the lateral cheekbone by 7mm.
Immediately Post-Op: Minimal Swelling
Immediately after surgery, the patient exhibited minimal swelling. Periorbital swelling subsided by day 4.
Swelling peaked around day 5 and then rapidly decreased. Patients with lower body fat tend to experience faster swelling reduction, as was the case here.
8 Months Post-Op: Slimmer Jawline Emerges
The mandible body was resected as much as possible without damaging the nerve. The jaw angle was preserved, resulting in a natural jawline with the angle positioned about 15mm below the earlobe.
18 Months Post-Op: Natural and Harmonious Facial Structure
Pre- and Post-Op CT Scan Analysis: Bone and Soft Tissue Changes
The red lines highlight the reduced bone volume. Comparing month 8 and month 18, soft tissue thickness decreased alongside weight loss.
Key Observations After Facial Contouring Surgery
Chin Soft Tissue Changes: While overall facial soft tissue thickness decreased, chin soft tissue thickness increased. This could be attributed to the T-osteotomy or orthodontic treatment.
턱 끝 연조직 두께 변화 비교 사진 Malar Groove Changes: The malar groove became more prominent. This could be influenced by lighting, masseter muscle volume reduction, or other factors.
조명에 의한 광대 고랑 변화 비교 사진 CT scans aid in identifying the cause.
광대 고랑 변화 비교 사진 It's difficult to distinguish any difference between the two images. The only noticeable variation is the shape of the ear-positioning device, suggesting that the perceived changes are likely due to lighting.
Temporal Area Changes: Inward cheekbone movement can sometimes cause the temporal area to appear more prominent. Botox injections can effectively address this.
수술 후 관자놀이가 두드러져 보이는 경우 해결법
Facial Contouring in Korea: Make Informed Decisions
This case study provides a detailed look at the swelling progression after facial contouring surgery. If you're considering this procedure, it's crucial to understand the swelling process, analyze pre- and post-op CT scans, and be prepared for long-term follow-up observations.
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