Recently, medical imaging has taken interest on CAD based solution for anatomical part fabrication or finite element analysis of human body. In principle, contours representing object boundary are obtained through image processing techniques. Surface models are then approximated by a skinning method. For this, various methods should be applied to medical images and contours. The major bottleneck of the reconstruction is to remove shape inconsistency between contours and to generate the branching surface. In order to solve these problems, bi-directional smoothing and the composite contour generation method are proposed. Bi-directional smoothing has advantage of removing the shape inconsistency between contours and minimizing shrinkage effect with a large number of iterations. The composite contour by the proposed method ensures smooth transition in branching region.