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Reduction malarplasty without external incision: a simple technique.
Charan Mahatumarat1, Nond Rojvachiranonda
1Chulalongkorn Craniofacial Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand. Charan.M@Chula.ac.th
Aesthetic Plastic Surgery
|August 20, 2003
Summary
A novel intraoral reduction malarplasty technique effectively reduces prominent cheekbones without external scars. This scarless approach offers improved facial harmony for patients seeking Eastern aesthetic ideals.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Aesthetic Surgery
Background:
- Eastern facial beauty standards differ from Western ideals, with prominent malar bones often considered unattractive.
- Traditional malar reduction techniques like chiseling are often ineffective for reducing facial width and leave external scars.
Purpose of the Study:
- To introduce a new, effective, and simple scarless technique for reduction malarplasty.
- To address the limitations of existing malar reduction methods.
Main Methods:
- A purely intraoral approach is utilized.
- A segment of the anterior zygomatic body is removed.
- Greenstick fractures are created at the zygomatic arches for medial mobilization and fixation via wiring.
Main Results:
- All eight patients achieved satisfactory results.
- No complications were reported during one to six years of follow-up.
- The technique successfully reduced both anterior and lateral malar projections.
Conclusions:
- This intraoral technique offers an improved method for reduction malarplasty.
- It provides a scarless solution for achieving better facial harmony.
- Represents an advancement in cosmetic craniofacial surgery.