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Updated: Oct 26, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

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

Jiaman Gao¹, Min Wei, Jie Yuan

¹Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, China.

The Journal of Craniofacial Surgery

|July 28, 2021

Summary

L-shaped reduction malarplasty alters midfacial soft tissues, increasing thickness in deeper layers and reducing the nasolabial fold angle. These changes are acceptable and do not impact patient satisfaction.

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Analysis of Craniomaxillofacial Malformations in Mice Using Three-dimensional Microcomputed Tomography

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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.