Advanced Bone Sculpting Techniques

Bone Sculpting Techniques

Many people choose to undergo facial contouring and bone sculpting surgery today to change or improve a feature or structural aspect of their faces. One feature may seem out of balance with their other features or the overall facial shape. Facial plastic surgery involving bone sculpting is also popular among individuals who desire to look more youthful, feminine or masculine. It is also extremely helpful in repairing facial damage from injury due to accidents and in correcting some birth defects or deformities.

While some plastic surgery procedures are performed without the need to alter or repair bone tissue, many other corrective and restorative options now available include trimming, reshaping or reinforcing the underlying bone structure of the face. You may want or need subtle, revitalizing changes or a more extensive procedure to alter, correct or enhance specific facial features and lines for better proportional balances. If you do, modern plastic surgeons can perform the necessary cosmetic or corrective surgeries to satisfy your preference and needs.

Procedures Utilizing Bone Sculpting Techniques

A number of different procedures performed by modern plastic surgery specialists are very much in demand in contemporary society, both for health-enhancing and cosmetic reasons. Some surgeries are also necessary to correct a potentially debilitating or problematic condition involving trimming or reshaping bone tissue. These frequently performed procedures often include either facial or body bone sculpting techniques.

Facial Bone Sculpting

  • Rhinoplasty. – During this frequently performed surgical procedure, the nose is reshaped. After the first facial incisions are made, the skin of the nose is lifted off its supporting structure of bone and cartilage. These initial incisions are usually made in the nose interior and are not outwardly visible. Calculated amounts of bone and cartilage are then removed, reshaped or rearranged to create a new structural framework.

If a patient has a sizable hump or bulge in nose formation, any extra bone or cartilage present will be removed, producing a more linear and flat shape for the nose profile. Next, the external nose skin is re-positioned to cover the new framework of the nose, and the incisions are securely closed. Today, the leading cosmetic plastic surgeons use digital morphing to determine the exact visual result that each patient desires before the procedure.

  • Rhytidectomy. – This procedure is commonly called a facelift and is in the category of cosmetic surgery with the main intent of creating a more youthful looking face. This type of surgery frequently entails removing any loose, excess skin from the face. When necessary, the tissues beneath the skin are tightened and any other alterations needed are made before the outer facial skin layer is returned to its place to cover the patient’s facial structure and neck.

Although a facelift alone does not require bone removal or sculpting, this procedure is often performed in combination with brow and eyelid surgeries or cheekbone restructuring, which most likely will require removal or reshaping of underlying bones.

  • Otoplasty. – This type of corrective plastic surgery reshapes and re-positions ears that are large or prominent, tending to protrude from the side of the head. It is also used to correct defects, deformities, and injuries of the pinna (external ear). This procedure can also structure and shape a missing external ear due to injury or congenital issues such as microtia, in which the external ear is underdeveloped, and anotia, in which the pinna is undeveloped.

During this surgical procedure, an external ear of normal shape, position and proportion are created by moving, augmenting or sculpting existing cartilage. Otoplasty is not directly involved with bone sculpting. However, some reshaping or trimming of bone structure on the side of the head and face, near the jawline may be necessary during this procedure.

Read also: Nipple Repositioning During Breast Lift

  • Mentoplasty. – This form of surgery reshapes the chin with an implant for enhancement or by reduction, or delicate chiseling, of the underlying bone. This procedure can significantly balance the proportions of facial features. When combined with the simple sculpting of the jawline, impressive, attractive changes in feature balancing can result.

During this procedure, bone tissue from the jaw may be moved to a forward position, or excess bone may be removed to reduce the size of a strongly projecting chin shape. In some cases, this surgical procedure may also be combined with alterations to the upper or lower jaw (or both) for better occlusion (alignment of the teeth) and chewing movements.

  • Blepharoplasty. – This type of corrective surgery repairs droopy or heavy eyelids, often with removal of extra skin tissue, fat deposits, and muscle. Because eyelids stretch and the surrounding muscles often weaken, even during the early years of the aging process, this often results in drooping lids, under-eye bags, and shaggy eyebrows.

Along with making the facial appearance, this deterioration can also interfere with peripheral vision. Once this procedure is done, the eyes will look more youthful and active, and peripheral vision will improve. This procedure does not involve bone tissue reduction or reshaping, but it may be performed in conjunction with some sculpting of underlying facial bones.

Body Bone Sculpting

  • Correcting Bone Deformities. – Bone sculpting techniques can also be helpful in correcting certain bone tissue deformities in the body. For example, bulges or bumps created by excess bone tissue on extremities, particularly on hands and feet, can be eliminated with the skills of an expert plastic surgeon using bone chiseling, straightening and trimming techniques.
  • Correcting Joint Injuries. – Lumps or bulges in bone and cartilage tissue adjoining injured joints can often be corrected by use of bone sculpting methods. By trimming or cutting away excess bone or cartilage tissue from these places, surgeons can return these areas to their normal shapes and sizes.

Dr. Andrew Jacono for Premiere Facial Plastic and Reconstructive Surgery

For ultimate quality consultation and facial plastic or reconstructive surgery, contact the offices of Dr. Andrew Jacono, MD, FACS in New York. Dr. Jacono is known worldwide for his unique, advanced procedural techniques for minimally invasive facial revitalization and flawless results for reconstructive procedures. For further information, visit Dr. Jacono’s website at or contact his offices by phone at (212) 570-2500 in Manhattan and (516) 773-4646 on Long Island.


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