Facial skeletal contouring surgery such as reduction malarplasty and reduction angleplasty is popular in Asian countries. With rapid economic development, an increasing number of patients receive facial skeletal contouring surgery combined with other facial aesthetic surgeries. From January 2014 to December 2016, a total of 37 patients underwent Facial skeletal contouring surgery combined with facial esthetic surgeries in our department. The modified L-shape reduction malarplasty and reduction mandibular angleplasty were performed using reciprocating saws. The combined facial esthetic surgeries are 4 cases of double eyelid blepharoplasty, 6 cases of augmentation rhinoplasty, 2 cases of autologous fat transplantation and 1 case of augmentation genioplasty. 36 patients were satisfied with the final facial contour and appearance. No severe complications were seen in our series. Facial skeletal contouring surgeries can drastically and permanently change the patient’s facial contour. Plastic surgeons should be acquainted with the metabolic aesthetic trends and be familiar with all the surgical techniques. The selection of an appropriate procedure or combined procedures for individual patients should be made according to the cultural background, patient’s chief complain, anatomic variations and possible operative sequelae.