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Facial Plast Surg 2020; 36(05): 613-622
DOI: 10.1055/s-0040-1717143
Original Article

Aesthetic Zygoma Reduction in Asian Patients

Sanghoon Park
1   Department of Plastic Surgery, Center for Facial Bone Surgery, ID Hospital, Seoul, Korea
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Abstract

Zygoma reduction is indicated in patients where the primary aim of surgery is reduction in the width of cheekbones to achieve smoother and more feminine facial aesthetic lines. Surgeons should evaluate the width of midface (bizygomatic width) and the protrusion of zygoma (volume and position of the zygomatic body) when evaluating patients where such a procedure is indicated. Intraoral high-L osteotomy is the most useful method to successfully treat a wide spectrum of zygomatic protrusions and is widely accepted as the treatment of choice for aesthetic purposes. The amount of ostectomy is determined by evaluating the volume of zygomatic body. The zygomatic body and arch are usually moved posteromedially during surgery; the point of maximal malar projection is evaluated and transposed to a new ideal position. Zygoma reduction can be performed solely or in combination with other facial bone contouring procedures such as mandible reduction, genioplasty, or forehead augmentation. Soft tissue sagging, nonunion, malunion, and paresthesia are the most common complications of this procedure. Undercorrection and asymmetry are the most common aesthetically unfavorable sequelae and should be carefully prevented by proper preoperative planning and meticulous execution of surgical technique.

Keywords

facial bone contouring - zygoma reduction - high L-osteotomy - maximal malar projection


Publication History

Article published online:
24 December 2020

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  • References

  • 1 Hinderer UT. Malar implants for improvement of the facial appearance. Plast Reconstr Surg 1975; 56 (02) 157-165
    CrossrefPubMedGoogle Scholar
  • 2 Wilkinson TS. Complications in aesthetic malar augmentation. Plast Reconstr Surg 1983; 71 (05) 643-649
    CrossrefPubMedGoogle Scholar
  • 3 Cho BC. Reduction malarplasty using osteotomy and repositioning of the malar complex: clinical review and comparison of two techniques. J Craniofac Surg 2003; 14 (03) 383-392
    CrossrefPubMedGoogle Scholar
  • 4 Kim YH, Seul JH. Reduction malarplasty through an intraoral incision: a new method. Plast Reconstr Surg 2000; 106 (07) 1514-1519
    CrossrefPubMedGoogle Scholar
  • 5 Morris DE, Moaveni Z, Lo LJ. Aesthetic facial skeletal contouring in the Asian patient. Clin Plast Surg 2007; 34 (03) 547-556
    CrossrefPubMedGoogle Scholar
  • 6 Park S. Standard zygomatic reduction with intra-oral approach. In: Park S. ed. Facial Bone Contouring Surgery. Singapore: Springer; 2017: 145-158
    Google Scholar
  • 7 Chung SE, Park S. Aesthetic midface analysis. In: Park S. ed. Facial Bone Contouring Surgery. Singapore: Springer; 2017: 135-143
    Google Scholar