An improved technique for zygoma reduction malarplasty.

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Facial Bone Surgery

Background:

• Zygoma reduction malarplasty is a common procedure for achieving an oval facial shape, particularly in Asia.
• Standard techniques often result in unsatisfactory aesthetic outcomes and complications such as nonunion, malunion, and cheek drooping due to bone fragment movement.

Purpose of the Study:

• To present a modified surgical technique for zygoma reduction malarplasty.
• To reduce postoperative complications and improve aesthetic results compared to the standard procedure.

Main Methods:

• Modification of the standard zygoma reduction malarplasty technique.
• Achieving greater surface-to-surface contact between posterior bone segments for enhanced stability.
• Performing fixation solely in the zygoma body area, potentially avoiding posterior fixation.
• Utilizing grinding to reduce articular tubercle protrusion when fixation is omitted.

Main Results:

• Decreased chance of bone fragment displacement due to improved locking.
• Maintenance of anterior zygoma prominence.
• Slight reduction in posterior zygoma width.
• Avoidance of posterior fixation in some cases.

Conclusions:

• The modified zygoma reduction malarplasty technique offers improved stability and reduced complication rates.
• This technique has the potential to significantly enhance treatment outcomes in zygoma reduction malarplasty.
• It provides a promising alternative for patients seeking facial contouring with fewer risks.