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Endoscopically assisted malarplasty: L-rotation technique.

J S Lee1, E H Kim2, S H Lee2

  • 1Youtiful Vom Aesthetic Plastic Clinic, 326 Dosan-daero, Gangnam-gu, Seoul, Republic of Korea.

Journal of Stomatology, Oral and Maxillofacial Surgery
|August 19, 2020
PubMed
Summary
This summary is machine-generated.

A new endoscopic L-rotation technique effectively reduces both zygomatic arch and body protrusion in malarplasty. This surgical method offers improved zygoma reduction for patients seeking facial contouring.

Keywords:
EndoscopeMalarplastyZygoma reduction

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetic Surgery
  • Endoscopic Surgery

Background:

  • Endoscopically assisted malarplasty with greenstick fracture is limited for malar body reduction.
  • Existing techniques inadequately address zygomatic body protrusion.
  • A novel approach is needed to enhance malarplasty outcomes.

Purpose of the Study:

  • To introduce and evaluate a new endoscopic surgical technique for zygoma reduction.
  • To address the limitations of previous malarplasty methods.
  • To improve both arch and body protrusion reduction in malarplasty.

Main Methods:

  • Developed and applied an L-rotation technique using endoscopic assistance for zygoma reduction.
  • Performed incomplete osteotomy on the zygoma body and complete osteotomy on the arch.
  • Enrolled 261 patients undergoing zygoma reduction between January 2017 and December 2018.

Main Results:

  • The L-rotation technique was applied to 261 patients, with 242 also receiving corticotomy.
  • Minor complications included a floating zygomatic segment in four cases and one dropped segment requiring fixation.
  • The majority of patients reported satisfaction with no significant complications.

Conclusions:

  • Endoscopic L-rotation malarplasty effectively reduces both zygomatic arch and body protrusion.
  • The degree of zygoma reduction is adjustable via osteotomy line and corticotomy.
  • This technique offers a versatile solution for zygoma reduction in facial contouring.