Reduction Malarplasty With Subperiosteal Lift Via a Single Limited Temporal Incision

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Facial Rejuvenation

Background:

• Prominent zygoma and rectangular facial contours are considered unaesthetic and masculine in Asian cultures.
• Reduction malarplasty is a common surgical procedure to achieve an oval facial shape.

Purpose of the Study:

• To evaluate the efficacy and long-term outcomes of reduction malarplasty with subperiosteal lift for prominent zygoma in Asian patients.

Main Methods:

• A retrospective review of 22 patients who underwent reduction malarplasty between November 2008 and December 2018.
• The surgical technique involved repositioning the osteotomized zygomatic arch and subperiosteal lift via a limited temporal incision.
• Preoperative and postoperative photographs were analyzed, and complications and patient satisfaction were assessed.

Main Results:

• Significant improvement in prominent zygoma and facial contour was observed in all 22 patients.
• Patient satisfaction with the overall outcome (73.77 ± 6.83) and facial appearance (75.00 ± 5.60) was high.
• No instances of cheek drooping or major complications were reported during long-term follow-up.

Conclusions:

• Reduction malarplasty with subperiosteal lift provides a stable and durable effect for prominent zygoma.
• This surgical approach is a viable alternative for facial contour reshaping, leading to high patient satisfaction.