What a Facial Contouring Specialist Says About Surgical Techniques, Revision Surgery, and Risks

Interview with Dr. Seo Beom-shin of Made Young Plastic Surgery: Why Is Choosing a Facial Contouring Specialist So Important? The reason for performing only facial‑contouring surgery

We conducted an in‑depth interview with Dr. Seo Beom‑shin, the chief director and facial‑contouring specialist at Made Young Plastic Surgery.  

Why Director Seo Beom‑shin has devoted so many years solely to… why he has performed only facial contouring surgeries as his sole specialty,

and we were able to hear directly about the philosophy and experience he has built throughout that process

Dr. Seo gained extensive experience operating on patients with facial bone injuries caused by traffic accidents and other trauma during his residency.

Through repeated experience with complex cases such as facial bone fracture surgeries and facial bone reconstruction, he naturally developed a deep understanding and intuition for facial bone anatomy.  

This experience became the decisive reason he continued to focus solely on facial contouring surgery even after becoming a board‑certified plastic surgeon.

In most cases, plastic surgeons first gain experience with eyelid and nose surgeries, and only later expand into facial contouring procedures, or…  

many eventually shift back to breast, eyelid, or nose surgeries after doing facial contouring, but…

However, Dr. Seo chose the opposite path, dedicating himself deeply to the single field of facial contouring surgery.

The reason is that facial contouring surgery is not simply a procedure that shaves or reshapes bone, but…  

because it is a highly complex procedure in which numerous factors—such as bone thickness, shape, nerve pathways, soft tissue, muscles, and the periosteum—interact intricately.

🔸How many different types of facial contouring surgeries are there?

Dr. Seo has extensively studied not only domestic surgical techniques but also those used by medical professionals overseas.

As a result, what we commonly know as…

✅ L‑osteotomy · I‑osteotomy zygoma reduction

✅ T‑osteotomy · S‑shaped osteotomy chin surgery

✅ Long‑curve mandibular angle resection

In other words, the so‑called ‘three‑set facial contouring procedures’ account for only about 60% of all facial contouring surgeries.

Especially when long‑chin surgery, asymmetric facial contour correction, and revision contouring surgeries are included,  

The proportion that can be resolved with only the so‑called three‑set contouring procedures is just a little over 50%.

that not all patients can be operated on in the same way, and that completely different approaches are required depending on each patient’s facial bone structure and desired facial shape.

🔸 Various facial contouring techniques of Made Young Plastic Surgery

At Made Young Plastic Surgery, there are many consultations for facial contour revision, and every day patients who have undergone incorrect or poorly performed surgeries in various ways come seeking help,  

To address these issues, the so‑called three‑set contouring procedures alone are nowhere near enough.

The surgical techniques Dr. Seo actually uses are far more diverse and sophisticated, as shown below.

• Scalp‑incision zygoma approach
• Zygomaticotemporal suture–line zygoma reduction
• Chin‑resection surgery optimized for long‑chin patients
• Spindle‑shaped osteotomy specialized for chin‑deficiency correction
• Oblique‑resection mandibular angle reduction that preserves the gonial angle while maximizing the frontal effect
• Witch‑chin correction using intraoral and submental incisions
• Shaving‑based micro‑contouring procedure

In this way, Made Young Plastic Surgery pursues personalized facial‑contouring surgery tailored to each patient’s facial bone structure.

🔸 Why soft tissue, muscles, and periosteum are important in facial‑contouring surgery

Facial‑contouring surgery is not simply a procedure that reduces bone. When the bone is reduced, the muscles, periosteum, subcutaneous fat, and deep‑buccal fat above it are all affected.

How these soft tissues are repositioned and sutured determines the naturalness and stability of the surgical outcome.

For example, long‑chin surgery is a procedure in which the chin tip is reduced vertically.

It is a completely different concept from surgeries that reduce the horizontal width, such as V‑line surgery. 

Therefore, after the bone is resected, the muscles and periosteum must not simply be sutured but must be repositioned and fixed again in their precise locations.  

It can prevent complications such as sagging downward like a witch‑chin.

This is exactly why Director Seo personally performs not only the bone surgery but also the muscle and periosteum suturing.

🔸 Why does the perception that facial‑contouring surgery is dangerous arise

Facial‑contouring surgery is indeed a dangerous surgery.  

Because emergencies such as excessive bleeding or airway problems may occur, the operating surgeon, anesthesiologist, and operating‑room staff must always be in a state of readiness.

Especially in revision surgery, the anatomical structures are not normal, increasing the risk of vascular injury and potentially causing greater bleeding.

What is important at this moment is not trying to forcefully finish the surgery.

If necessary, it is best for the patient to stop the bleeding, close the wound, and perform the surgery again after the tissues have stabilized.

🔸The safety system of Made Young Plastic Surgery Clinic

As a facial‑contouring specialty clinic, Made Young Plastic Surgery Clinic  

• The operating surgeon performs the entire procedure directly, from incision to suturing.
• Full‑time anesthesiologist on site
• Establishment of an emergency‑response manual
• Operating‑room staff who have worked together in sync for a long time
• The surgeon’s capability to perform even endotracheal intubation and tracheostomy

Thanks to this system, the stability and consistency of the surgery are maintained.

🔸 Director Seo Beom‑shin’s philosophy on facial‑contouring surgery

Director Seo says that he performs facial‑contouring surgery better than anyone else. But he emphasizes that he also strives not to become complacent.  

By successfully resolving revision cases that many hospitals had given up on, and witnessing patients recover not only their appearance but also their emotional well‑being  

He feels a sense of pride in the field of facial‑contouring surgery.

And going forward, without turning to other fields, he will continue to delve deeply into the single path of facial‑contouring surgery  

He continues to study and strive to fill even the remaining 1% of insufficiency.

Made Young Plastic Surgery Clinic Website https://www.made-young.com/index.php

🟩 FnA (FAQ)

Q1. Why is choosing a specialist important for facial‑contouring surgery?

A. The structure of the facial bones varies greatly from person to person, and because nerves, blood vessels, muscles, and the periosteum are intricately intertwined, it is a highly complex surgery. The more experienced the specialist, the higher the safety and the quality of the results.

Q2. Can all facial‑contouring issues be resolved with only the three‑set contouring procedures?

A. No. Only about 50–60% of patients can be treated with the three‑set procedures, and cases involving long chins, asymmetry, or revision surgery require customized surgical methods.

Q3. Is it true that facial‑contouring surgery is dangerous?

A. There are indeed risk factors. In particular, bleeding and airway issues require thorough preparation, and the surgery must be performed at a hospital equipped with a specialized system.

Q4. Why is revision surgery more difficult?

A. Because the previous surgery alters the anatomical structure, increasing the risk of vascular and nerve damage, and the response of the soft tissues also becomes difficult to predict.

Q5. What are the strengths of Made Young Plastic Surgery?

A. Its strengths include full‑process direct operation by the operating surgeon, the presence of a full‑time anesthesiologist, an emergency preparedness system, a wide range of surgical techniques, and extensive experience in revision surgeries.