Minimizing post-operative soft-tissue sagging in facial bone contouring: Adjunctive techniques

Facial bone contouring procedures such as narrowing genioplasty, malar reduction, and mandibular angle reduction often result in soft-tissue sagging, compromising esthetic outcomes. We present three simple intraoperative adjunctive techniques-chin muscle suspension, buccal fat management, and fascial tension sutures-to proactively prevent jowl formation and midface descent. These techniques are designed to integrate seamlessly into standard procedures with minimal additional operative time. While quantitative outcomes were not measured in this brief report, we have observed consistent clinical improvements in soft-tissue positioning postoperatively. Future prospective studies are warranted to assess their objective efficacy.