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Related Experiment Videos

Augmentation of cheek bone contour using malar osteotomy.

Walid Layoun1, Laurent Guyot, Olivier Richard

  • 1Service de Stomatologie, Chirurgie Maxillo-Faciale et Plastique de la Face, CHU Nord, Marseille, France. layounwal@free.fr

Aesthetic Plastic Surgery
|April 3, 2004
PubMed
Summary

Malar osteotomy enhances facial aesthetics by projecting the cheek anterolaterally. Bone grafts proved safer than coral grafts, with projection correlating to graft size for midface deficiency.

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Aesthetic Surgery

Background:

  • Patients with narrow faces often exhibit maxillary-malar complex underdevelopment.
  • Malar osteotomy offers a solution for improving facial contour and aesthetics.

Purpose of the Study:

  • To evaluate the effectiveness and safety of malar osteotomy for anterolateral cheek projection.
  • To assess the impact of graft materials on surgical outcomes and complications.

Main Methods:

  • Eighteen patients underwent malar osteotomy over five years.
  • External rotation was stabilized using coral grafts (n=6) or bone grafts (n=12).
  • Concurrent procedures included septoplasty, rhinoplasty, genioplasty, and rhytidectomy.

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Main Results:

  • A minimum graft size of 5 mm was necessary for noticeable cheek projection.
  • Bone grafts showed no complications, unlike coral grafts which were associated with inflammation, sinusitis, and relapse.
  • Projection increase correlated with graft size.

Conclusions:

  • Malar osteotomy is a safe and effective procedure for treating transverse midface deficiency.
  • Bone grafts are recommended over coral grafts due to superior safety and stability.
  • The technique significantly improves facial aesthetics through anterolateral cheek projection.