Disclosed is a facial bone contouring device for use in facial bone contouring surgery and bone tumor and/or osteophyte removal. The facial bone contouring device comprises: a rasp (10), having a double tube structure, including a rod (11), and a cutter (13) provided with plural grooves (13c) for exhausting cut bone fragments, a saline solution feeding passage (15) and a bone fragment exhausting passage (14); a powered surgical handpiece (40) connected to the rasp (10) for providing linear reciprocating motion to the rasp (10); a saline solution feeding unit (30) for feeding saline solution to the saline solution feeding passage; and a suction unit (20) for sucking and exhausting the cut bone fragments, wherein bone cutting is performed under the condition that the saline solution is fed into the rasp, and the cut bone fragments are exhausted together with the saline solution so that the bone cutting is continuously performed.