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Related Experiment Videos

Reduction malarplasty by 3-mm percutaneous osteotomy.

Keun-Cheol Lee1, Sung-Uk Ha, Jung-Min Park

  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University, Seo-Gu, Busan, Korea. pokdungi@daunet.donga.ac.kr

Aesthetic Plastic Surgery
|May 31, 2006
PubMed
Summary

This study presents a simple and safe zygoma contouring technique for Oriental patients, achieving satisfactory results with reduced operating time and minimal swelling. The procedure effectively decreases facial width and enhances facial aesthetics, leading to high patient satisfaction.

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetic Surgery
  • Oromaxillofacial Surgery

Background:

  • Prominent zygoma is a common concern in Oriental populations, often associated with negative aesthetic perceptions.
  • Zygoma contouring aims to achieve an ideal oval facial shape and improve profile aesthetics.
  • Achieving optimal results in reduction malarplasty requires careful consideration of facial harmony and potential ancillary procedures.

Purpose of the Study:

  • To evaluate the efficacy and safety of a specific reduction malarplasty technique for zygoma contouring.
  • To assess patient satisfaction and aesthetic outcomes following the described surgical method.
  • To highlight the benefits of combining reduction malarplasty with ancillary facial procedures.

Main Methods:

  • A cohort of 30 patients underwent reduction malarplasty using intraoral incisions and L-shaped osteotomies.

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  • The zygomatic body was reduced, and the posterior zygomatic arch was accessed via a preauricular stab incision.
  • Combined procedures included mandibular angle reduction, rhinoplasty, and double-fold operations in select cases.

    • Main Results:

    • All 30 patients reported high satisfaction with the aesthetic outcomes.
    • The surgical technique resulted in decreased facial width and improved midfacial contour.
    • The procedure demonstrated a short operating time (1 hour), minimized postoperative edema, and left no conspicuous scars.

    Conclusions:

    • The described reduction malarplasty technique is simple, safe, and effective for zygoma contouring in Oriental patients.
    • Simultaneous ancillary procedures contribute to optimal patient satisfaction and aesthetic enhancement.
    • The method offers a relatively short recovery period and achieves a more youthful and charming facial appearance.