ON Facial Contouring: Midface Reduction Plus V-line, One-Year Aftercare
Facial contouring Surgery can help improve the overall proportion and lines of the face, contributing to a smaller and more harmonious impression. However, many people are concerned about skin sagging after bone reduction. Especially when considering midface reduction and V-line Surgery, an integrated approach that considers not only bone but also soft tissue changes is important.
How can we address skin sagging after facial contouring Surgery?
After midface reduction, it is necessary to induce skin contraction through various Lifting Treatments such as Ultherapy, Thermage, and Sofwave. I always emphasize to my patients that these device treatments are essential for managing sagging after Surgery. However, the chin area is slightly different from the midface. Sagging in the chin is deeply related to muscle relaxation, so treatments that directly contract the muscles are effective.
"I mentioned that after midface reduction, it is necessary to induce skin contraction with Ultherapy, Thermage, Sofwave, etc., but the chin is different from the midface. The chin needs muscle contraction."
For this reason, chin Botox is one of the best ways to contract muscles. Botox can reduce excessive movement of the chin muscles and induce contraction, creating a smoother jawline.
How to enhance the effect of chin Botox?
The effect of general pebble chin Botox tends to last for a short period, about a month. However, chin Botox after bone reduction through facial contouring Surgery has a much greater effect. This is because you can expect a synergistic effect where the entire soft tissue, including muscles and skin, contracts to fit the reduced bone structure.
The main benefits of chin Botox are as follows:
- Alleviates excessive movement of chin muscles, improving uneven surface
- Jawline appears smoother and more refined
- Helps soft tissue adhere naturally to the bone reduced by Surgery
Although you can see the effect with a single treatment, to maintain the effect, we recommend at least 3 to 5 repeated treatments. Immediately after the treatment, there may be slight discomfort when moving, but it gradually recovers over time.
O.N Clinic's Midface Reduction and V-line Surgery Process
The patient we will introduce this time underwent midface reduction Surgery on the cheekbones along with V-line Surgery. In particular, this patient had a somewhat long-looking chin, so the Surgery was performed in a way that effectively reduced the chin while preserving a natural angle, rather than completely eliminating the angle. Looking at the CT scan one year after Surgery, it can be confirmed that the osteotomy line previously seen has completely fused, and the bone has firmly attached. Even when viewed from below, the bone is perfectly attached, showing a stable appearance.
The patient expressed satisfaction, saying, "My face has become much smaller, and when I take pictures, I look pretty like a celebrity." Although her face was already small before Surgery, her facial proportions have now been ideally improved, and her overall impression has become even better.
Non-surgical approaches for jawline improvement
Sagging skin under the chin after V-line Surgery is a common concern. To solve this, many people consider liposuction or neck muscle tightening. However, at O.N Clinic, we believe that sufficiently satisfactory results can be obtained through various non-surgical methods such as Ultherapy, Titan, and fat-dissolving injections. This patient also achieved both fat reduction and skin contraction effects through Ultherapy treatment.
The important point here is the surgical method. If the jaw is made round with a long curve instead of an angular shape, or if only the outer cortex is cut (a Surgery commonly known as "only cutting the outer bone"), the bone structure will not be properly supported, and the jawline will not improve, no matter how much liposuction or neck muscle tightening is performed. Even a facelift or neck lift may not produce the desired shape.
"We cut both the inner and outer cortex simultaneously; cortical osteotomy, which only cuts the outer cortex, is absolutely impossible."
This is because the core bone structure that determines the jawline contour has not been properly formed. Therefore, during Surgery, the bone must be precisely osteotomized in a way that preserves the angle, and then treatments such as Ultherapy must be performed in conjunction to finally achieve a firm and clear jawline. This patient is a prime example that clearly demonstrates this principle. By performing Surgery while preserving the angle, all problems, including sagging, could be resolved with just Ultherapy.
O.N Clinic goes beyond simply shaving bone; we find the most natural and beautiful lines by considering each individual's facial proportions and characteristics. We are committed to providing systematic post-Surgery care to help you maintain satisfactory results for a long time.
O.N Clinic | Last reviewed 2026-05-23