Rotation technique of reduction malar plasty

Area of Science:

• Plastic Surgery
• Maxillofacial Surgery
• Anatomy

Background:

• Reduction malarplasty aims to reduce prominent cheekbones.
• Common complications include nonunion, malunion, and facial drooping.
• The masseter muscle's attachment necessitates precise surgical technique.

Purpose of the Study:

• To identify crucial factors for successful reduction malarplasty.
• To present a technique that ensures rigid fixation and bone contact.
• To minimize complications associated with malar reduction surgery.

Main Methods:

• Review of anatomical attachments of the masseter muscle.
• Analysis of fixation techniques in reduction malarplasty.
• Evaluation of rotational repositioning of the zygomaticomaxillary complex.

Main Results:

• Rigid fixation and intimate bone contact are essential to prevent malarplasty complications.
• Mesial-clockwise rotation of the zygomaticomaxillary complex facilitates achieving intimate bone contact.
• This technique can help avoid gaps and improve surgical outcomes.

Conclusions:

• Proper bone contact and fixation are paramount in reduction malarplasty.
• Mesial-clockwise rotation is an effective method to achieve these goals.
• This approach can reduce the incidence of nonunion, malunion, and cheek drooping.