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Intraoral zygoma reduction using L-shaped osteotomy
Seung Eup Hong1, Si You Liu, Jeong Tae Kim
1From the *Dr. Hong's Aesthetic and Plastic Clinic; †Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University; ‡Department of Plastic and Reconstructive Surgery, Eulji General Hospital, College of Medicine, Eulji University; and §Eulji Medi-Bio Research Institute, Eulji University, Seoul, Republic of Korea.
This study introduces a novel intraoral approach for malarplasty using L-shaped osteotomy. This technique effectively reduces prominent cheekbones with minimal complications, offering a desirable alternative for facial contouring.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Aesthetic Surgery
Background:
- Conventional malarplasty techniques present drawbacks such as large incisions, significant bleeding, and visible scarring.
- The simple intraoral approach for malarplasty represents an innovative advancement to overcome these limitations.
Observation:
- The study observed 114 patients (103 female, 11 male) aged 16-48 undergoing malarplasty via an intraoral approach with L-shaped osteotomy.
- The mean operative time was approximately one hour.
Findings:
- The intraoral approach with L-shaped osteotomy successfully reduced prominent zygoma while preserving natural facial contours.
- Complications were minimal, including three cases of osteotomy nonunion requiring revision and two instances of temporary cheek drooping.
Implications:
- This technique offers a simpler, less invasive method for zygoma reduction compared to traditional approaches.
- The favorable outcomes and reduced complication rates suggest this intraoral L-shaped osteotomy is a promising procedure for facial contouring.
