Facial contouring
Facial Contouring Revision Surgery
Facial Contouring Revision is a corrective surgical procedure designed to fix aesthetic or structural issues resulting from a previous jaw, chin, or cheekbone surgery. It involves advanced 3D imaging and specialized techniques to restore facial balance and achieve the desired slim profile that was not met in the first operation.
Who it suits
- Individuals dissatisfied with the aesthetic results of a previous facial contouring surgery.
- Patients experiencing facial asymmetry or irregular bone contours after a primary procedure.
- Those who feel their cheekbones or jawline were under-corrected or over-reduced.
Technique highlights
- 3D-CT Diagnosis: Detailed analysis of bone density and remaining bone structure to ensure surgical safety.
- High-L Osteotomy Revision: Correcting failed cheekbone reductions by repositioning the MMP (Maximum Motivation Point) for a slimmer look.
- V-Logic Proportioning: Recalculating the ideal chin-to-jaw ratio for patients with previous chin surgery failures.
- Endoscopic Precision: Using specialized internal cameras to navigate around scar tissue and protect nerves.
Surgical steps
- Comprehensive Pre-operative Screening: Includes 3D-CT, X-rays, and bone density tests to identify previous surgical errors.
- Multidisciplinary Consultation: Facial bone specialists and oral surgeons collaborate to plan the safest corrective path.
- Anesthesia and Incision: General anesthesia is administered, followed by incisions made typically through the mouth or sideburns to minimize visible scarring.
- Bone Re-contouring: Excess bone is trimmed, or bone fragments are repositioned and secured using specialized fixation tools.
- Closing and Post-op Care: Incisions are sutured, and specialized laser or recovery treatments are applied to reduce swelling.
Recovery & aftercare
- Hospital stay: Usually 1-2 nights for close observation of swelling and recovery.
- First 7 days: Major swelling and bruising; a liquid diet is recommended.
- 2 weeks: Stitches are typically removed, and patients can usually return to light daily activities.
- 3-6 months: Final results become visible as residual swelling subsides and the bone fully settles.
Risks & things to consider
- Scar tissue from previous surgeries can make nerve preservation and bone cutting more complex.
- Limited bone mass: If too much bone was removed in the first surgery, there may be less area for re-contouring or fixation.
- General anesthesia risks associated with longer operative times in complex revision cases.
Frequently asked questions
How long should I wait after my first surgery before getting a revision?
Wait at least 6 to 12 months after your first surgery to allow tissues to soften and bone to fully heal.
Is revision surgery more difficult than the primary surgery?
Revision surgery is generally more complex due to scar tissue and altered anatomy, requiring a highly experienced facial bone specialist.
Do I need a new 3D-CT scan for a revision?
Yes, 3D-CT scans are essential to evaluate the current bone structure and the position of previous surgical pins.
Cases in this area
Before & After gallery





Case photos show individual results. Outcomes vary with anatomy and aftercare.
Other procedures in this area
- MVT Jaw Reduction Surgery (V-Line Contouring)
- V-Line Jaw and Chin Surgery
- Mini V-Line Chin Surgery (T-Osteotomy)
- V-Line Facial Contouring (Jaw & Chin Surgery)
- High-L Cheekbone Reduction Surgery
- Custom Forehead Augmentation (Silicone Implant)
- Hairline Lowering (Forehead Reduction) Surgery
- Philtrum Reduction Surgery (Lip Lift)
Adapted from ID Hospital official material · View source page