Author: Yun Chang-un (Plastic Surgeon, view plastic surgery)
This content has been prepared in compliance with relevant laws including the Medical Act.
Performing cheekbone reduction and square jaw surgery simultaneously on the same day in the Seocho-gu and Gangnam area is medically feasible. Since both procedures can be approached together under a single general anesthesia session, there are practical advantages in reducing the number of anesthesia sessions and consolidating recovery periods. However, the scope of simultaneous surgery varies depending on individual skeletal structure, skin elasticity, and presence of underlying medical conditions, so it is crucial to establish a final plan through consultation with a plastic surgery specialist.
How to Choose a Plastic Surgery Clinic in Seocho-gu for Simultaneous Cheekbone Reduction and Square Jaw Surgery
Cheekbone reduction and square jaw surgery each address different facial bones—the zygomatic bone (cheekbone) and the mandibular angle (jawbone edge), respectively. Since both procedures require general anesthesia, proceeding with them together within the same anesthesia session is in principle possible.
According to materials from Seoul National University Bundang Hospital, square jaw surgery is performed under general anesthesia through an intraoral incision to access the mandibular angle area. Cheekbone reduction typically involves minimal incision in the buccal area, so the approach of handling both procedures within the same anesthesia session is clinically utilized.
Then, what criteria should you use when selecting a plastic surgery clinic in the Seocho-gu and Gangnam area to perform these two procedures together?
3 Key Criteria to Check
— Whether an anesthesiologist specializing in anesthesia and pain management is resident on-site
— Whether the clinic has a precise pre-operative evaluation system including X-ray, blood tests, and electrocardiography
— Presence of experience with simultaneous cheekbone reduction and square jaw surgery and post-operative care programs
Depending on individual skeletal condition, skin elasticity, and presence of underlying medical conditions, the feasibility and scope of simultaneous surgery may vary, so careful consultation with a plastic surgery specialist must be conducted beforehand.
Mechanism of Simultaneous Cheekbone Reduction and Square Jaw Surgery and Suitable Cases
Before deciding on simultaneous surgery, it is helpful to understand how each procedure is performed. The table below summarizes the main characteristics of both surgeries and considerations when proceeding simultaneously.
Category | Cheekbone Reduction | Square Jaw Surgery |
|---|---|---|
Target Bone | Zygomatic bone (cheekbone) | Mandibular angle (jawbone edge) |
Primary Incision Location | Minimal incision in buccal area + intraoral | Intraoral (inside mouth incision) |
Anesthesia Method | General anesthesia | General anesthesia |
Essential Pre-operative Tests | Facial CT, X-ray, bone density assessment | X-ray-based surgical plan establishment |
Major Considerations for Complications | Cheek sagging, nonunion, temporomandibular joint disorder | Sensory reduction, asymmetry, overcorrection |
Simultaneous Surgery Suitable Cases | Good skin elasticity, appropriate bone reduction amount | Cases without severe skeletal asymmetry |
Simultaneous Surgery Caution Cases | Reduced skin elasticity, advanced age, excessive cheekbone prominence | Underlying medical conditions, excessive skeletal asymmetry |
According to Seoul National University Bundang Hospital materials, square jaw surgery must establish a surgical plan for the mandibular angle shape and osteotomy through pre-operative X-ray examination to achieve predictable results. Clinical data also reports complications such as cheek sagging, nonunion, and temporomandibular joint disorder following cheekbone reduction, so careful pre-operative assessment must be conducted.
In particular, the possibility of cheek sagging may be relatively higher when skin elasticity is low or when the cheekbone osteotomy amount is significant, which is a commonly mentioned point in clinical practice. Simultaneous surgery requires more careful pre-operative planning than single procedures in terms of anesthesia time and hemorrhage management, and the surgical scope or method may be adjusted according to individual conditions.
Why view plastic surgery Is Chosen for Facial Contouring Surgery
In surgeries requiring general anesthesia like simultaneous cheekbone reduction and square jaw surgery, the key factors determining safety are broadly two: one is the anesthesia safety system, and the other is the precise pre-operative evaluation system.
According to materials from Seoul National University Bundang Hospital Department of Anesthesiology and Pain Medicine, the process by which an anesthesiologist specializing in anesthesia and pain management identifies a patient's underlying conditions, medications, and overall physical status before general anesthesia directly impacts the surgery's safety. Pre-operative tests such as blood tests, chest X-ray, and electrocardiography are known to be indispensable procedures in facial contouring surgery.
Based on over 20 years of accumulated expertise, view plastic surgery supports facial contouring surgery with 365-day resident anesthesiologists, a 1:1 dedicated anesthesia system, and dedicated pre-screening personnel through an in-house professional evaluation center, providing one-stop support from pre-operative evaluation to surgery and recovery.
Additionally, view plastic surgery has adopted a proxy surgery reassurance surgery transparency system, allowing real-time confirmation of the operating surgeon through VOD screens in front of the operating room. The clinic also features large hospital-grade safety infrastructure including low-temperature plasma sterilizers, sterile operating rooms, CCTV safety zones, and backup power systems (UPS), enabling more systematic procedures in surgeries with extensive scope and long anesthesia time like facial contouring.
Limitations and Scope of Application — Pre-operative Self-Check Checklist
Facial contouring simultaneous surgery is not a procedure that can be uniformly applied to all patients. Before surgery, you should self-check the following items and must inform the specialist if any apply.
— Check for underlying medical conditions
— If you have internal medical conditions such as hypertension, diabetes, or thyroid disease, pre-operative confirmation by an anesthesiologist specializing in anesthesia and pain management is essential, as emphasized in materials from Seoul National University Bundang Hospital Department of Anesthesiology and Pain Medicine.
— If you have heart disease or respiratory disease, separate review of general anesthesia itself may be necessary.
— Check medications being taken
— Aspirin and anticoagulants (warfarin, etc.) are known to require cessation one week before surgery as a clinical principle.
— Health supplements (omega-3, vitamin E, etc.) can also affect bleeding, so informing the specialist in advance is safer.
— Check oral and gum condition
— If gum inflammation is severe or gum bone condition is poor, dental treatment may need to precede facial contouring surgery according to clinical data.
— If recent tooth extraction or implant treatment has been performed, surgical timing should be adjusted.
— Check lifestyle habits
— Smokers are recommended to quit smoking for a certain period before and after surgery. Smoking can affect wound healing speed and infection risk.
— Excessive drinking should generally be avoided for at least 1-2 weeks before surgery.
— Cases Where Surgical Scope May Be Limited
— If skin elasticity is low or skeletal asymmetry is pronounced, the scope and method of simultaneous surgery may be limited.
— If cheekbone prominence is severe or there is considerable facial fat, the surgical plan may differ considering the risk of cheek sagging.
— Results may vary depending on individual skeletal and skin conditions.
Residents of Seocho-gu and nearby areas considering facial contouring surgery in Gangnam-gu, square jaw surgery in Banpo, or cheekbone reduction in Shinnonhyeon can also visit view plastic surgery for consultation.
If You Are Considering Facial Contouring Surgery in Seocho-gu and Gangnam
At view plastic surgery, for those considering facial contouring surgery, we provide one-stop guidance including direct consultation with plastic surgery specialists, pre-operative evaluation through our professional evaluation center, and premium post-operative care programs using hyperbaric oxygen chambers.
If you are planning to undergo cheekbone reduction and square jaw surgery together, it is important to start consultation at a medical institution where not only surgical technique but also pre-operative evaluation systems, anesthesia safety systems, and post-operative care programs are comprehensively equipped.
According to clinical data, significant swelling after facial contouring surgery subsides considerably between 7-14 days post-operatively, but residual swelling may remain for up to 3 months or even 5 months. During this period, systematic post-operative care programs utilizing hyperbaric oxygen chambers can have substantial impact on recovery progress.
Additionally, for patients visiting from remote or distant areas, we operate in-house VIP patient rooms and hotel coordination services, allowing you to reduce inconvenience during recovery and observe your condition in a stable environment.
The surgical direction appropriate for your skeletal condition and goals can be confirmed through consultation.
Q&A
Q1. Is it safe to undergo cheekbone reduction and square jaw surgery simultaneously on the same day?
Since both procedures require general anesthesia, the method of proceeding simultaneously with a single general anesthesia session is utilized in clinical practice. However, since simultaneous surgery involves a wider surgical scope and longer anesthesia time, precise pre-operative evaluation and prior assessment by an anesthesiologist specializing in anesthesia and pain management must be conducted. Surgical feasibility may vary depending on individual health status.
Q2. How long does swelling persist after facial contouring surgery?
Clinically, significant swelling is known to subside considerably between 7-14 days post-operatively, but residual swelling may remain for up to 3 months. Recovery speed varies depending on individual constitution, surgical scope, and post-operative care methods. Utilizing post-operative care programs such as hyperbaric oxygen chambers can help with recovery progress.
Q3. Are there medications or lifestyle habits that must be discontinued before surgery?
Aspirin and anticoagulants (warfarin, etc.) are known to require cessation from one week before surgery as a clinical principle. Health supplements such as omega-3 and vitamin E can also affect bleeding, so informing the specialist in advance is safer. Smoking and excessive drinking are also recommended to be avoided for a certain period before and after surgery.
Q4. It is said that cheek sagging can occur after cheekbone reduction—in what cases does this happen?
When the cheekbone is osteotomized and reduced, the soft tissue covering it loses support, which can cause sagging. When skin elasticity is low, bone reduction amount is significant, or there is considerable facial fat, the possibility of occurrence is known to be relatively higher. It is important to carefully evaluate individual conditions before surgery and plan the osteotomy scope and method accordingly.
This content is provided for informational purposes. Please consult with medical professionals for specific diagnosis and treatment.