3D CT scan of a human skull for plastic surgery where natural.

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345 Plastic Surgery where natural human skull CT scan for plastic surgery evaluation

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3D CT scan of skull and spine for plastic surgery where natural. 345 Plastic Surgery.

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345 Plastic Surgery where natural skull and spine CT scan. Medical imaging for plastic surgery.

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3D CT scan of skull for plastic surgery. 345 Plastic Surgery where natural.

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3D CT scan of skull for plastic surgery. Natural results with 345 plastic surgery.

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Paranasal Augmentation
with Autologous Bone Graft

In paranasal augmentation, bone resected during long curved
square jaw surgery or cheekbone surgery is refined
and grafted into the depressed “noble” area to restore volume.
Because autologous bone is used, there is no foreign body reaction
and the integrated bone can be maintained permanently.

The key of autologous bone graft augmentation surgery is that
by using a safe graft material, a natural appearance can be maintained over a long period.

Proven Safety

Natural Contour

Long-term
Durability

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Autologous Bone Graft Augmentation Surgery

Learn how autologous bone can be used to naturally augment the paranasal area after facial contouring.

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Skull with bone graft for 345 plastic surgery where natural facial reconstruction

Safely with Autologous Bone

Facial contouring surgery is performed safely using autologous bone as the graft material.

First, Dual Procedures Simultaneously

Both facial contouring and paranasal augmentation surgery can be performed at the same time.

Second, Natural Graft Integration

Since autologous bone is used, there is minimal foreign body rejection and the bone integrates naturally.

Third, A Youthful, Attractive Face

Facial contouring enhances definition, while paranasal augmentation restores midface volume for a youthful, balanced profile.

Proceeded with contour surgery

Through precise planning, the procedure can be performed in conjunction with facial contouring surgery.

When concerns exist not only about the facial shape but also
about the nasolabial folds alongside the nose,
facial contouring is used to enhance the overall image,
and the autologous bone obtained from the contouring
procedure is grafted into areas with volume deficiency.
At 345 Plastic Surgery Clinic, the surgery is planned
meticulously considering the entire facial image.
345 Plastic Surgery before and after cheek volume, natural look. Volume restored with plastic surgery.
Before & After

Before and After Photos of
Paranasal Augmentation with Autologous Bone

More physiologic surgery with less complications

More physiologic surgery with less complications
because autologous bone is used, this surgery has fewer side effects.

Since grafting is performed simultaneously with facial contouring surgery, a twofold effect can be achieved.
Also, using autologous bone results in fewer side effects compared to other procedures.
Human skull side view for 345 plastic surgery where natural results.

STEP 01

Resection of the Body of
the Square Jaw or Cheekbone

Using a long curved osteotomy, the square jaw is resected to create a slim appearance. Alternatively, resection of the body of the cheekbone is performed for cheekbone reduction.

Plastic surgery tool cutting implant for natural 345 plastic surgery.

STEP 02

Shaping the Bone
for the Paranasal Area

The resected square jaw bone is refined to suit the paranasal area.

345 Plastic Surgery skull image where natural facial bone structure is visible

STEP 03

Grafting the Bone into
the Paranasal Area

The refined bone is precisely placed into the paranasal area to prevent bone resorption.

345 Plastic Surgery skull showing natural plastic surgery nasal implant.

STEP 04

Fixation with Pins

The area where the bone has been grafted is stabilized using fixation pins.

Paranasal Augmentation with
Autologous Bone Info

A Quick Overview of
Paranasal Augmentation with Autologous Bone

Check out information on autologous bone graft augmentation surgery with minimal side effects.

345 Plastic Surgery where natural

Surgery Time

30 minutes

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Anesthesia

General Anesthesia

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Hospital Stay

1 day

345 Plastic Surgery where natural

Follow-Up Visit

1 visit
(suture removal at 2 weeks)

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Recovery

Daily activities possible after 2–3 days

345 Plastic Surgery logo where natural results are the goal. Triangle, square, and circle above text.

Recommended target

Recommended for
these individuals

Are you concerned about surgery?
Feel free to inquire!

01

First, Sunken Face

When the paranasal area is sunken

02

Second, Lateral Facial Volume

When the mid-face appears sunken from the side

03

Third, Natural Surgery

If you desire paranasal augmentation but do not want silicone or filler injections

04

Fourth, Natural Improvement

For those who want both a smaller face and natural facial volume simultaneously

How, Why,

Frequently Asked Questions
About Facial Contouring

There is no fixed rule for removing the screws. However, after a long period post-surgery, bone may cover the screws or plates, making removal more difficult. It is best to remove the screws (plates) after the bone has fully healed, before any bone buildup or secondary changes occur. While removal is possible starting from 6 months post surgery, our clinic typically recommend waiting around 1 year post surgery for screw removal.

Generally, when undergoing bone surgery, the reduction in bone structure causes the surrounding tissue to shrink accordingly. The time (recovery period) and degree of this shrinkage can vary depending on the individual. If a significant amount of bone is removed due to highly developed cheekbones, or if there is already sagging skin, the outcome may differ. However, it cannot be said that cheek sagging will definitely occur just from cheekbone reduction surgery.


During consultations, it is possible to predict the extent of sagging, and it is advisable to plan the surgery based on the current condition. At our clinic, if sagging is expected, we often combine the surgery with a lifting procedure, referred to as “Cheek Lifting,” (Zygoma) to address this concern.

Orthodontic treatment can generally begin about 1 month after facial contouring surgery without any issues. During the first month post-surgery, you are in the recovery phase, and actions like opening your mouth or chewing may be uncomfortable and different from before the surgery, so caution is necessary.


Additionally, surgeries such as cortical bone removal or masseter muscle reduction may be performed simultaneously, causing the surgical areas to become tightly healed. As a result, opening the mouth may not feel as natural. If you are considering orthodontics, it’s recommended to first go through the recovery process for about a month. Since recovery times vary among individuals, it’s important to consult with an orthodontist to determine if you can proceed with treatment based on your current condition.

There is one important nerve to be cautious of during cheekbone surgery—the infraorbital nerve, which is responsible for sensation in the front cheekbones, lips, and gums. Depending on the dissection area, the nerve may be slightly stretched, which can lead to a temporary decrease in sensation in the affected area.


However, as long as the nerve is not cut or severely damaged during the surgery, sensation will gradually return over time, so there is no need to worry.