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Showing posts from March, 2023

Remove everything below the nerve!

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Facial contouring surgery involves trimming facial bones to alter the shape of the face. For the face shape to change from trimming facial bones, surrounding soft tissue (skin, fat, muscle, etc.) must respond favorably. Putting this another way, as soft tissue needs to respond to alter the face, the maximum effect of facial contouring possible is essentially the maximum amount of responsive soft tissue.   In passing thought, you would think removing maximal bones would maximally change the face shape but this isn’t so in reality. Removing bone mass in excess of responsive soft tissue will not be reflected in the shape of trimmed bone, resulting in excess soft tissue which will in turn create a sagging shape. When consulting outpatients, I’m often asked, “Is my nerve line high? Is it low?” Inside the lower jawbone, there is what’s called the inferior alveolar nerve (IAN) which controls feeling in your teeth and lower lip. If you look at an x-ray of facial bones, this nerve goes...

Bubble cheeks, Bubble jaws

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Have you heard of crunchy balloon bread? It’s quite large in size but empty inside and the bread itself is really thin. If you take a big bite without knowing what it is initially, you’re left feeling baffled just getting the thinnest bits of bread remnants in your mouth and not the mouthful of bread you expected. Those who inquire about surgery involving their face shape are highly interested as to the size of their face. Smaller faces are generally preferred. One of the biggest reasons for wanting surgery is to reduce the size of one's face.   If a face is large, are the facial bones thicker? Is the face size proportional to the thickness of facial bones? Based on my countless experience, I can say there is slight correlation. The size and thickness aren’t completely proportional but those with large facial bones tend to have slightly thicker bones in many cases. Even so, facial bones aren’t as thick as the size. Basically, there is some correlation in the size and thickness...

A man who can’t genuinely enjoy beauty

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A fundamental step of the plastic surgery I specialize in is knowing what face shape is most attractive. This is because the target face shape can only be determined once the conception of a beautiful face shape is established and a patient’s flaws are grasped. Beauty is actually a matter of impression. Humans instinctively respond to beauty and are pleased by it. People generally just enjoy seeing beauty, which in and of itself is one of the great pleasures in life. But I, myself, can’t simply enjoy beauty. This is because I feel the need to know what exactly is perceived beautiful and why it is perceived beautiful. When finding pleasure in seeing beauty, I feel a sense of obligation to analyze the reason why it is perceived beautiful. Particularly when this is not easily defined, it pains me to find out why to the extent it distresses me. As you can expect, it’s indescribable how rewarding it is once I painstakingly figure out why. Among the numerous audition programs, I enjoy viewin...

Plastic surgery is a selfless act

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People readily consider plastic surgery a selfish act as it is mainly solely for oneself to improve one’s appearance. In fact, plastic surgery is largely for self-satisfaction. The onset of plastic surgery is one’s dissatisfaction with one’s appearance. Plastic surgery comes down to changing something dissatisfactory about yourself to a state that is satisfactory. Plastic surgery is immensely self-centered and entirely about personal taste.   Seeing beautiful things makes people feel good. This is the basis of beauty. Our reaction to beauty is not learned academically but innate. Even newborns react to beauty.   Changing something dissatisfactory to a satisfactory state with plastic surgery ultimately leaves you more beautiful. Becoming more attractive essentially has the effect of making everyone around you feel good. People get plastic surgery for self-satisfaction but their more attractive appearance inadvertently brings joy to those around them from seeing beauty...

The rich get richer, the poor get poorer

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The facial contouring and double jaw surgeries I specialize in involve handling the frame inside the face. The basic framework of the face is shaped to change the shape of the face on the exterior.  For the facial bone surgery I perform to manifest on the outside, the soft tissue covering the frame needs to reflect the change in facial bones. Accordingly, the better extent to which soft tissue reflects, the better the results of surgery. The main constituents of soft tissue consist of the outer skin, subcutaneous fat, and muscles. As we generally see the skin looking from the exterior, I will refer to soft tissue as skin from hereon. The results of facial bone surgery reflect well if skin meets two conditions.    First, it must be thin . More accurately, thin subcutaneous fat. If this is thick, even if bone surgery changes the frame, less degree of change is reflected on the outside. If I were to compare this with a sculpture, it would be as though a thick winter blanket ...