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Endoscopically assisted malarplasty: one incision and two dissection planes.
Jung Su Lee1, Sora Kang, Yang Woo Kim
1Department of Plastic Surgery, College of Medicine, Ewha Womans University, Seoul, Korea.
Plastic and Reconstructive Surgery
|December 24, 2002
Summary
This study introduces a novel, minimally invasive reduction malarplasty technique for Asian patients with prominent cheekbones. The procedure offers simplicity, reduced operation time, and faster recovery with minimal bleeding and swelling.
Area of Science:
- Plastic Surgery
- Facial Aesthetic Surgery
Background:
- Malar prominence is a significant aesthetic concern in Asian societies.
- Existing reduction malarplasty methods have varying degrees of invasiveness and outcomes.
Purpose of the Study:
- To evaluate a new, less invasive endoscopic approach for reduction malarplasty targeting specific zygomatic arch prominence.
- To assess the efficacy and safety of this novel technique in a selected patient cohort.
Main Methods:
- A cohort of 32 patients with severe zygomatic arch prominence and a desire for lateral reduction underwent a new surgical technique.
- The procedure involved a short temporal incision, dual-plane endoscopic and blunt dissection, and partial osteotomies of the zygomatic arch and body.
- Manual pressure was applied for zygoma infraction.
Main Results:
- The new reduction malarplasty technique demonstrated simplicity and ease of execution.
- Patients experienced short operation and recovery times.
- The procedure resulted in minimal bleeding and post-operative edema.
Conclusions:
- This endoscopic reduction malarplasty is a viable and effective option for patients seeking lateral cheekbone reduction with minimal invasiveness.
- The technique offers significant advantages in terms of surgical time, recovery, and patient comfort.