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Infracture technique for reduction malarplasty with a short preauricular incision
Doo Byung Yang1, Jae Young Chung
1Jelim Plastic Surgical Clinic, Seoul, Korea. dbyang@jelimps.com
Plastic and Reconstructive Surgery
|April 15, 2004
Summary
A new infracture technique for prominent zygoma reduction uses a shorter preauricular incision, reducing scar length and operation time. This method effectively reshapes the zygomatic arch for aesthetic improvement.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Reconstruction
Background:
- The infracture technique is a common method for zygoma reduction in East Asia.
- Traditional methods using temporopreauricular incisions can result in long, noticeable scars.
Purpose of the Study:
- To introduce and evaluate a modified infracture technique for reduction malarplasty.
- To minimize external scarring and operative time while maintaining efficacy.
Main Methods:
- A new approach involving intraoral and short preauricular incisions was developed.
- Incomplete zygomatic body fracture (intraoral) and full-thickness zygomatic arch cutting (preauricular).
- Infracturing the zygomatic arch and fixation with microplates and screws.
Main Results:
- The modified technique was applied to 142 patients between September 2000 and June 2001.
- Significant reduction in external scar length and operative time observed.
- Reduced postoperative edema and effective reshaping of the zygomatic arch achieved.
Conclusions:
- The modified infracture technique offers a safe and effective alternative for prominent zygoma correction.
- Shorter preauricular incision minimizes visible scarring and improves aesthetic outcomes.
- This approach provides sufficient exposure for precise surgical manipulation.