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A New Double Trapezoid-Shaped Osteotomy for Reduction Malarplasty
1Braun Plastic Surgery Clinic, Seoul, Korea.
The Journal of Craniofacial Surgery
|December 26, 2015
Summary
A novel double trapezoid osteotomy effectively reduces prominent cheekbones in reduction malarplasty. This technique offers improved contouring and midface lifting, overcoming limitations of previous methods.
Area of Science:
- Plastic Surgery
- Facial Aesthetic Surgery
Background:
- Existing reduction malarplasty techniques have limitations, including cheek droop, limited volume reduction, contour irregularities, and restricted zygomatic arch repositioning.
- A new surgical method is presented to address these disadvantages in zygomatic bone reduction.
Observation:
- A double trapezoid osteotomy technique was employed for reduction malarplasty in 684 patients (532 women, 152 men) between March 2010 and May 2014.
- The osteotomy involves two trapezoid-shaped cuts: one with 2 oblique and 1 transverse line (frontal view), and a second with 2 oblique cuts (cross-sectional view).
Findings:
- The double trapezoid osteotomy was successfully performed in all patients with no severe complications, only minor ones.
- Significant reshaping of wide midfaces with prominent malar eminences into a slender contour was observed in most patients.
Implications:
- This double trapezoid osteotomy appears to be a more effective reduction malarplasty technique, successfully reducing prominent cheekbones.
- The procedure may lead to an upward lifting of the cheek area and enhance midface 3-dimensional convexity without major complications.
