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Temporal and malar-zygomatic reduction and augmentation.

L A Whitaker1

  • 1University of Pennsylvania, Philadelphia.

Clinics in Plastic Surgery
|January 1, 1991
PubMed
Summary
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Facial contouring requires joint consideration of the temporal fossa, zygomatic arch, and malar-midface. Surgical planning involves precise assessment of these areas for optimal aesthetic outcomes and reduced complications.

Area of Science:

  • Plastic Surgery
  • Anatomy
  • Facial Aesthetics

Background:

  • The temporal fossa, zygomatic arch, and malar-midface are interconnected aesthetic units.
  • Altering one area impacts the others, necessitating a comprehensive approach.
  • Previous methods may not fully integrate these zones for optimal results.

Purpose of the Study:

  • To emphasize the importance of jointly considering the temporal fossa, zygomatic arch, and malar-midface in surgical planning.
  • To outline a surgical technique for combined augmentation and reduction procedures.
  • To evaluate the efficacy and indications for using a coronal incision in malar augmentation.

Main Methods:

  • Preoperative assessment at eye level to determine necessary augmentation or reduction.

Related Experiment Videos

  • Surgical execution via a coronal incision with dissection to the zygomatic arch.
  • Techniques for temporal muscle elevation and implant insertion (Proplast).
  • Methods for zygomatic arch reduction and malar-midface augmentation with synthetic materials.

    • Main Results:

    • Joint consideration of these facial areas is crucial for successful surgical outcomes.
    • The coronal incision approach, while having lower morbidity, may require extensive surgery for malar augmentation.
    • Precise planning and execution are key for achieving desired aesthetic modifications.

    Conclusions:

    • A coordinated surgical strategy for the temporal fossa, zygomatic arch, and malar-midface yields superior results.
    • Malar augmentation via coronal incision requires careful consideration of surgical extent versus benefits.
    • Thorough preoperative assessment and precise surgical technique are paramount for patient satisfaction.