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Intraoral approach for reduction malarplasty: a simple method.

Jin-Gew Lee¹, Young-Wook Park

¹Department of Oral and Maxillofacial Surgery at the Chong-A Dental Hospital, Seoul, Korea.

Plastic and Reconstructive Surgery

|December 24, 2002

Summary

Prominent cheekbones can cause distress for young Korean women due to cultural beliefs and aesthetic concerns. Zygomatic reduction surgery offers a solution, improving facial appearance and reducing self-consciousness.

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Area of Science:

Plastic Surgery
Facial Aesthetics
Otolaryngology

Background:

Prominent zygoma (cheekbones) in young Korean women is linked to negative cultural perceptions and aesthetic concerns, including appearing older or stubborn.
Psychological distress and self-consciousness regarding facial appearance often necessitate zygomatic reduction.
Cosmetic goals drive the demand for zygomatic reduction, emphasizing the need for scarless surgical approaches.

Purpose of the Study:

To describe an effective and minimally invasive intraoral surgical technique for zygomatic reduction.
To address the aesthetic and psychological concerns associated with prominent zygoma.

Main Methods:

A two-step intraoral surgical procedure for zygomatic reduction.
Step 1: Reduction of the zygomatic body via grinding and filing after mucoperiosteal incision.

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Step 2: Osteotomy of the zygomatic arch using an oscillating saw, followed by controlled fracture for inward repositioning.

Main Results:

The described intraoral technique effectively reduces prominent zygoma.
The procedure results in inward repositioning of the zygomatic arch.
The method is characterized by its simplicity, ease of execution, and effectiveness, with no visible facial scarring.

Conclusions:

The described intraoral zygomatic reduction technique is a safe, effective, and scarless method for improving facial aesthetics.
This approach alleviates psychological distress related to prominent cheekbones.
It offers a desirable solution for patients seeking younger and softer facial features without external incisions.