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Reduction malarplasty using a zygomatic arch-lifting technique.

Chang Heon Hwang1, Myung Chul Lee2

  • 1Ilumi Plastic Surgery Clinic, 596 Gangnam-daero, Gangnam-gu, Seoul, South Korea.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|April 17, 2016
PubMed
Summary
This summary is machine-generated.

This study introduces an arch-lifting technique for zygomatic reduction malarplasty, effectively addressing concerns like sagging and poor bone union. The novel method ensures stable fixation and satisfactory aesthetic results for patients seeking facial contouring.

Keywords:
Prominent zygomaReduction malarplastyZygomatic arch lifting

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Facial Reconstruction

Background:

  • Excessive malar protrusion is culturally linked to aggression and aging in Asian populations.
  • Current zygoma reduction methods face challenges with soft tissue sagging and inadequate bony union.
  • A novel arch-lifting technique has been developed to address these limitations.

Purpose of the Study:

  • To evaluate the surgical outcomes of a newly devised arch-lifting technique for reduction malarplasty.
  • To assess the efficacy of the technique in overcoming challenges like soft tissue sagging and inadequate bony union.

Main Methods:

  • Retrospective review of 54 patients undergoing lifting malar reduction between January 2013 and November 2014.
  • Procedure involved L-shaped osteotomy of the zygomaticomaxillary junction with intraoral approach.
  • Prefabricated U-shaped microplate used for arch fixation; follow-up included medical records, photographs, and CT scans.

Main Results:

  • High patient satisfaction with aesthetic outcomes, including zygomatic prominence, midfacial width, and symmetry.
  • No major complications like facial nerve damage or trismus reported.
  • Two cases of inadequate bony contact due to trauma, successfully managed with immediate revision; three minor wound infections resolved with antibiotics.

Conclusions:

  • Zygomatic reduction requires consideration of adjacent muscle dynamics, achieved through stable arch fixation.
  • The arch-lifting technique effectively elevates the zygomatic complex, ensuring adequate bone-to-bone contact.
  • This method provides predictable and accurate outcomes for reduction malarplasty.