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Reduction malarplasty through an intraoral incision: a new method
1Department of Plastic and Reconstructive Surgery, Yeungnam University, Taegu, Korea. yhkim@med.yu.ac.kr
Plastic and Reconstructive Surgery
|December 29, 2000
Summary
A novel intraoral-only surgical technique effectively corrects prominent cheekbones (malar prominences) using L-shaped osteotomies. This approach offers a safe and efficient alternative to traditional methods, minimizing scarring and operative time.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Aesthetic Surgery
Background:
- Traditional zygoma reduction techniques involve coronal, intraoral, or preauricular incisions.
- These conventional methods carry risks of scarring, facial nerve injury, and prolonged operative durations.
Observation:
- A new surgical approach for prominent zygoma correction utilizes exclusively intraoral incisions.
- This technique involves L-shaped osteotomies of the zygomatic body and repositioning of the zygomatic complex.
Findings:
- Twenty-three patients with malar prominences underwent the intraoral reduction malarplasty procedure.
- The method involves L-shaped osteotomies, removal of the mid-segment, and fixation with miniplates, achieving acceptable results with minimal complications over a 9.5-month follow-up.
Implications:
- The intraoral-only technique presents a safe and effective alternative for reduction malarplasty.
- This approach potentially reduces surgical morbidity associated with external facial incisions.