Revision Facial Contouring Surgery

This is truly the last time.

Revision surgery begins by listening more deeply than the first time.

Because we understand the concerns that have lasted so long, we accompany you through your final surgery with expertise built from years at university hospitals.

SEOULFACE21Revision Surgery

CASE 01

Revision double-jaw surgery after double-jaw surgery

CASE 02

Double-jaw surgery after facial contouring surgery (cheekbones, square jaw, chin)

CASE 03

Double-jaw surgery after protruding mouth surgery

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Seoulface21 is with you to give you confidence that this is truly the end.

Revision double-jaw surgery requires a high level of expertise, precise planning, and refined surgical techniques.

Based on extensive clinical experience and data, Seoulface21 carefully assesses the necessity and feasibility of surgery through thorough consultation and diagnosis, and stays with you until the end to give you confidence that this will be the last time.

Causes of Revision Surgery

- Inappropriate diagnosis

Insufficient understanding of the patient's needs

Inadequate equipment and facilities for obtaining diagnostic data

- Surgical errors (functional dissatisfaction)

Results caused by the previous practitioner's insufficient functional understanding of occlusion and the temporomandibular joint,

and lack of surgical experience

- Insufficient effect (aesthetic dissatisfaction)

Cases in which surgical planning and communication during consultation

were inadequate

SEOULFACE21 POINT

POINT. 01

Accurate data acquisition and thorough analysis

POINT. 02

Seoulface21's efforts and expertise to minimize errors

POINT. 03

Meticulous one-on-one personalized consultations with the chief surgeon, emphasizing the active reflection of patients' aesthetic preferences and drawing on experience from numerous consultation cases

Why Revision Double-Jaw Surgery Is Difficult

- Altered anatomical structures

The initial surgery may alter the facial anatomical structure and the locations of nerves and blood vessels, increasing the risk of nerve injury, dental injury, and bleeding during revision surgery.

- Limited bone structure and insufficient fixation points

Insufficient understanding of the patient's needs

Inadequate equipment and facilities for obtaining diagnostic data

- Prolonged recovery period

Because tissue responses are difficult to predict in revision surgery, recovery may be delayed, and swelling or pain may be more severe.

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Seoulface21 can perform even such difficult revision surgery.

Seoulface21's technical expertise anticipates even the variables of revision surgery,

and approaches every case precisely from the beginning, with the resolve that this is the last time.

SEOULFACE21

Revision Double-Jaw Surgery Method

- Surgery duration

2–3 hours

※ Individual differences may occur depending on the patient.

- Type of anesthesia

General anesthesia

- Hospital stay

2 nights, 3 days

- Suture removal

After 2 weeks

- Follow-up visits

3–4 times

- Recovery period

Approximately 2 weeks to 1 month

| Precise Diagnosis and Surgical Planning

· The current jawbone structure and occlusal condition are accurately analyzed through 3D CT and facial scanning.

· Past surgical records and the current condition are compared to identify issues and establish the need and goals for revision surgery.

· A personalized surgical plan considering both functional and aesthetic aspects is established through multidisciplinary consultation by medical specialists.

| Preoperative Preparation and Orthodontic Treatment

· Surgery is performed under general anesthesia, and new osteotomy lines are planned with consideration of previous osteotomy sites.

· The positions of the maxilla and mandible are readjusted to balance occlusion and facial appearance.

· Fixation devices are used to stably maintain the new jawbone positions.

| Revision Surgery

· Surgery is performed under general anesthesia, and new osteotomy lines are planned with consideration of previous osteotomy sites.

· The positions of the maxilla and mandible are readjusted to balance occlusion and facial appearance.

· Fixation devices are used to stably maintain the new jawbone positions.

| Postoperative Care and Recovery

· Medication and cold compresses are used to manage postoperative swelling and pain.

· Dietary adjustment is recommended, starting with a liquid diet and gradually transitioning to regular meals.

· Regular follow-up examinations are conducted to confirm the stability of the surgical site and occlusal status.

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Cases Requiring Seoulface21 Double-Jaw Surgery

- When malocclusion after surgery causes problems with chewing function

- When there is temporomandibular joint pain or difficulty opening the mouth

- When facial asymmetry remains

- When satisfaction with changes in appearance is low

- When abnormal sensation or pain persists at the surgical site

Revision Double-Jaw Surgery FAQ

Q. When should revision double-jaw surgery be considered?

Generally, revision surgery is considered after approximately 6 months to 1 year following the initial surgery.

This is the point at which the tissues have stabilized and swelling has subsided, allowing the surgical results to be evaluated accurately.

Q. Should previously inserted pins or plates be removed during revision surgery?

It depends on the case. If the existing fixation devices pose no problems and do not interfere with the revision plan, they may be left in place.

However, they may be removed or replaced if there is infection, malposition, or functional problems.

Q. How long is the recovery period after revision surgery?

Because tissue responses are difficult to predict in revision surgery, the recovery period may be longer.

Initial recovery generally takes about 2 to 4 weeks, while complete recovery may take several months.

Q. Can revision surgery resolve all problems?

Although revision surgery aims to improve issues from the initial surgery, not all problems may be resolved completely.

It is important to establish a surgical plan through sufficient consultation with medical specialists and realistic expectations.

Before surgery, precise 3D facial analysis helps prevent the risks of facial bone surgery in advance.

Seoulface21 uses a high-performance 3D diagnostic system and 3D virtual surgery program to systematically simulate everything from precise preoperative analysis and the surgical process to anticipated postoperative facial contour changes.

This enables personalized surgical planning that reflects each patient's skeletal structure and characteristics, providing more refined surgery.

STEP 01 | 3D Diagnosis

The patient's actual face is scanned and superimposed three-dimensionally on CT images to analyze facial soft tissue and skeletal hard tissue together

STEP 02 | 3D Analysis and Planning

A surgical plan is established through precise three-dimensional analysis of the facial hard tissue condition

STEP 03 | 3D Virtual Surgery and Postoperative Facial Appearance Prediction

High-precision scanning enables immediate visualization of the three-dimensional postoperative face

STEP 04 | 3D Simulation Surgery

Digital simulation is performed on CT images to identify any deficiencies in the surgical plan through feedback and establish a refined surgical plan

STEP 05 | 3D Device Fabrication and Surgery

After producing patient-specific surgical devices through a 3D process, precise surgery is performed according to plan, which may reduce operating time

Why Should You Choose Seoulface21 for Double-Jaw Surgery?

#01 Performed by an Oral and Maxillofacial Surgery Specialist

Intraoral incision surgery is the domain of oral and maxillofacial surgery.

Jaw surgery is not simply a procedure of cutting and fixing bone. It requires precise handling of complex intraoral structures, including the temporomandibular joint, nerves, blood vessels, mucosa, teeth, and gums; this is the domain of oral and maxillofacial surgery specialists.

At Seoulface21, oral and maxillofacial surgery specialists perform surgery based on an in-depth understanding of intraoral anatomy to minimize postoperative complications such as malocclusion, nerve damage, gingival recession, and scarring.

#02 Sincere One-on-One Personalized Care

Seoulface21 listens to patients' stories first.

Seoulface21 performs subnasal osteotomy, which preserves the preoperative structure by maintaining the position of the nasal bones and also osteotomizes the inner nasal bones to prevent deviation of the septal cartilage.

In addition, double-layer closure with proven absorbable sutures minimizes nasal widening.

#03 Stable Results Through Exceptional Expertise

The chief surgeon's refined expertise and technical skill achieve stable surgical results.

Seoulface21 combines precise technical skill with the chief surgeon's exceptional surgical expertise to deliver more refined and stable surgery.

Based on the chief surgeon's extensive clinical experience gained at Seoul National University Dental Hospital and Chung-Ang University Hospital's Department of Dentistry, as well as a deep understanding of facial bone structure, surgical plans are carefully designed to satisfy both function and aesthetics.

#04 Natural Results Without Looking Operated

Achieving a natural smile without an operated appearance.

Seoulface21 minimizes lip thinning after double-jaw surgery through cinch sutures to prevent nasal widening, V-Y sutures of the upper lip, and subnasal osteotomy, creating a beautiful, natural-looking smile after surgery.

Preoperative Internal Medicine Consultation System

Before surgery, not only routine blood tests but also electrocardiography, chest X-rays, urinalysis, oxygen saturation testing, and various other items are evaluated precisely.

Through consultation with an internal medicine specialist, health risks are identified and addressed in advance to enhance surgical safety.

Anesthesiology Specialist Consultation System

An anesthesiology specialist directly manages the maintenance of anesthesia, airway control, and monitoring of cardiovascular responses during surgery, supporting stable anesthesia and surgery.

Real-Time Patient Status Monitoring

A centralized patient monitoring system monitors vital signs, including blood pressure, oxygen saturation, and heart rate, for a period following surgery to detect abnormal signs early and respond promptly.

Sterile Air Handling Systems in All Operating Rooms

All operating rooms are equipped with high-performance sterile air handling systems that block airborne bacteria and dust, providing a clean surgical environment with minimized infection risk.

Meticulous hygiene management, down to the smallest details, enables safer surgery.

Comprehensive Emergency Response System

The chief surgeon, certified in Basic Life Support and Advanced Cardiac Life Support, responds promptly in the event of an emergency.

Equipment and systems for immediate emergency response, including an automated external defibrillator (AED) and emergency airway management equipment, are fully in place.