Midfacial Soft Tissue Changes After Reduction Malarplasty: A Computed Tomographic Study

Area of Science:

• Plastic Surgery
• Facial Aesthetics
• Anatomy

Background:

• Reduction malarplasty is a popular cosmetic procedure for Asian women seeking improved facial contour.
• The impact of malarplasty on midfacial soft tissues remains a subject of ongoing research and debate.

Purpose of the Study:

• To evaluate midfacial soft tissue changes following L-shaped reduction malarplasty.
• To assess the effect of the surgery on the nasolabial fold angle and soft tissue thickness.

Main Methods:

• Retrospective observational study of 30 patients undergoing L-shaped reduction malarplasty.
• Preoperative and postoperative assessment using photographs, 3D CT scans, and the Wrinkle Severity Rating Scale.
• Analysis of soft tissue thickness and nasolabial fold angle.

Main Results:

• A statistically significant decrease in the nasolabial fold angle was observed post-surgery.
• Significant increases in the thickness of the fifth and sixth layers of midfacial soft tissue were noted.
• The observed soft tissue changes were within acceptable limits.

Conclusions:

• L-shaped reduction malarplasty leads to noticeable soft tissue alterations in the midface.
• These changes are generally within acceptable ranges and do not negatively affect patient satisfaction.