Reasons why you should not undergo bone reduction surgery such as facial contouring

Hello, I am a plastic surgeon and a student studying anatomy medicine at university. Actually, I had concerns about my face shape, so I thought a lot about facial contouring, but in the end, I ended up with eye surgery and fat grafting. So I didn't see a dramatic effect, but there were no side effects. I saw some effects without it.

 The reason why I wrote this article is because I got a lot of help while working on this site to get information, and I also want to help. If I were to draw a
 conclusion, my  conclusion
 is that bone removal surgery, whether facial contouring or anything else, ‘should not be done.’
 
There are reasons for bone surgery, risks, general anesthesia, nerve problems, etc., but these are side effects that can occur when the surgery goes wrong. The
 
 problem is that bone surgery such as contouring does not go wrong and even if the surgery goes well, there are always side effects. Because it appears. No, this may be closer to a ‘phenomenon’ that is bound to appear rather than a side effect. This is ‘sagging’, which many plastic surgeons who have thought about contour have probably heard of. Cheek sagging is a typical example.
 
 So why does this kind of sagging appear?

 1. Bone as a support
 
 Bone serves as a support in the structure of the human body, and flesh (muscles, to be exact) is attached to it.
  In the case of contouring, the bone that serves as support is removed and shaved off. Then, the skeleton is reduced, so of course the face becomes smaller. The skin of the face remains the same. Therefore, extra facial fat is created and there is no bone to hold or support it, so it sags. Therefore, sagging is bound to occur. The more bone is removed and the more facial fat there is, the more sagging is bound to occur.

 In that case, I can't help but think that it would be okay to remove the extra flesh, but there is another problem. It is the problem of fascia and periosteum.
 
 2. Fascia and periosteum
  You may have had the experience of eating pig's feet or braised ribs. You may have experienced that when eating uncooked food, the meat sticks to the bones, making it difficult to separate the bones from the meat. You may have also seen raw meat with bones and meat still attached.
 It's the same with people.
  
 Normal people have bones and flesh attached to each other. At this time, it is easy to think of meat or fat, but this flesh is muscle. Bones are surrounded by periosteum and muscles are surrounded by fascia. And in the human body, bones, muscles, periosteum, and fascia are closely attached. The younger and healthier you are, the stronger this sticking force is, and as you get older, sagging naturally occurs due to aging and gravity.

 When bone cutting surgery is performed, the flesh (muscle) and bone are separated to naturally cut the bone.
 Well... you could cut the bones and reattach the flesh and bones. Using what? Using medical adhesive...
  
 If I separate the fascia and periosteum (flesh and bone) and reattach them artificially, will the elasticity be the same as before? Well...
 

 In other words, with current medical technology, sagging phenomenon such as cheek sagging is a 'phenomenon' that is bound to appear somehow. You can see why they don't mention it as a side effect. It's just a phenomenon that 'inevitably' appears.
 
 Celebrities who receive treatment countless times also have facial contouring and sagging faces. Those people are like that, but what about us, ordinary people...? And even if you receive such care, it does not fundamentally prevent sagging. In fact, it can be said to be a kind of deception...
 
 Of course, if you say that you are too stressed about your current face shape, you can have surgery, but surgery that touches the bones such as the outline is necessary. I hope that those who receive it take into consideration that sagging is not a side effect, but rather an inevitable phenomenon.

 And if you do get it, it is better to get it in your early 20s when your recovery ability is good. Can you get it after your 30s? Well... Actually, at that time, you are at the age where sagging occurs even without contouring...
 
 Even if sagging does not occur right away after surgery, please consider that it will inevitably occur over time before undergoing surgery.

 Thank you for reading this long post. I'm on mobile so the spelling is random.