The shape and size of facial skeleton and its soft tissues are the fundamental determinants of facial profile. The nose, cheek and chin form a golden triangle in the middle of the face. A balanced proportion of the forehead, nose, cheek and chin will create a beautiful face. One way to have symmetric face is facial contouring. The main objective of facial contouring surgery is to create a well proportioned face. Depending upon the requirements, facial contouring surgery can be done either as a single procedure or in combination with several surgical procedures.
The facial profile can be dramatically improved through facial contouring surgery by either augmenting the deficient areas or reducing the over prominent areas. Reduction is usually done by reducing the bony areas or soft tissues that are prominent, whereas augmentation is done by filling in areas with one’s own tissue (bone, cartilage or fat grafts) or with bio compatible implants. Here is a list of facial contouring surgical procedures most frequently performed:
Cheekbone reduction is the goal standard for this condition. There are several techniques to reduce this part from minor to invasive procedure. Ostetomy or bone cutting is necessary but it possibly causes the risks like as asymmetry and relapse
Jaw muscle hypertrophy is very common cause of Asians’ square face. To achieve slimming face, reduction the muscle size with Botox is very simple and effective for this condition. Even it lasts only 6-8 months; this treatment can be repeated without any serious complication. To prevent sunken cheek or prominent jaw angle, careful pre-treatment evaluation is most important.
Wide and prominent jawbone is also a common characteristic of Asians. Square jaw is less feminine looking then most of Asian woman require to get rid of. There are two approaches for angle jaw reduction, one is trans oral osteotomy and the other is external approach. Severe swelling, nerve injury and asymmetry are the possible side effects.
Baby fat or buccal pad fat is common cause to produce chubby face. Buccal pad fat removal can reduce facial fatty face, producing V-shape line. With a short incision in the buccal area, the pad fat comes out easily with less recovery time.
Fat is known as safe autogenous filler that can fulfill any part of our body. By special technique in harvesting and processing, microfat transfer to the chin area can produce more natural contour and long lasting result. Unfortunately, resorbtion rate of fat cell is individually uncertain, touching up treatment is occasionally required to maintain the shape.
Jowl fat is sometime confused with the buccal pad fat that is located above. Jowl fat is sagging cheek fat to the lower third of face nearby angle of mouth. It’s an aging phenomenon. Anyway, some can develop jowl fat earlier than their age. Sagging big jowl fat is one factor that interferes the V- shape line. Minor jowl fat can be treated by lipolysis injection treatment. Facial liposuction together with lower face lifting is unavoidable for heavy jowl fat.
The preoperative assessment for facial contouring surgery may involve:
Preparation for facial contouring surgery
It is important for patients to understand that every surgical procedure has its own complications and down time. However, if a patient is assessed properly before the surgery and postoperative care is given adequately, these risks can be eliminated or reduced. The risks involved in facial contouring surgery may vary depending upon the nature of the surgical procedure. In general, some of the risks involved are:
• Blood clot
• Bruises and swelling
• Poor wound healing
• Persistent pain
• Injury to the surrounding nerves, blood vessels, muscles or bones
• Changes in the skin sensation
• Skin or bony contour irregularity
• Problems associated with implants
• Anaesthesia risks
• Possibility of revision surgery
The final results of facial contouring surgery will be long-lasting, however the initial healing phase which include swelling, bruises, numbness or discomfort are usually transient and can be controlled by prescribed medications, cold compression and appropriate rest. Oral antibiotics and analgesics will be prescribed to reduce the risk of infection and postoperative pain respectively.
• Follow the postoperative instructions given carefully
• Head elevation especially when sleeping for 1-2 weeks
• Take the prescribed medications as instructed
• Regular application of facial ointments and cold compression around operated areas
• Regular mouth wash or gargle after every meal if there is any oral wounds
• Soft diet for 2-3 weeks
• Avoid strenuous physical activities for 3-4 weeks
Cost is always a consideration in elective surgery. The cost of facial contouring surgery can vary widely. Cost may include:
• Surgeon’s fee
• Hospital or surgical facility costs
• Medical tests (blood and radiological investigations)
• Anaesthesia fees
• Implant cost
• Prescriptions for medication
• Post-surgery garment
Facial contouring surgery is a cosmetic surgical procedure. Therefore, most of the health insurance companies do not cover cosmetic surgeries or their complications.