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Beyond Reduction Malarplasty: Analyzing Factors for Unfavorable Outcomes.

Chang Heon Hwang1, Youjeong Yuk2, Jaehyun Bae1

  • 1Ilumi Plastic Surgery Clinic.

Plastic and Reconstructive Surgery
|January 28, 2026
PubMed
Summary

Facial narrowing surgery is less effective in patients with a high coronoid/condylion width ratio. Correcting mandibular divergence or considering orthognathic surgery is recommended for optimal facial contouring results.

Keywords:
malarplastymandiblemidface reductionorthognathic surgery

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Facial Contouring

Background:

  • Petite and youthful facial profiles are highly valued in Asian aesthetics.
  • Surgical techniques like reduction malarplasty are used for facial width reduction.
  • These procedures can sometimes have minimal or insignificant effects.

Purpose of the Study:

  • To analyze patient groups where facial narrowing surgeries are less effective.
  • To propose strategies for differentiating surgical indications for narrowing facial width.

Main Methods:

  • Retrospective review of 110 patients undergoing reduction malarplasty.
  • Outcome evaluation using medical records, photographs, and facial bone CT images.
  • Analysis of facial soft tissue width, bizygomatic width, inter-coronoid distance, and inter-condylion distance.

Main Results:

  • Facial narrowing effectiveness correlated with inter-coronoid and inter-condylion distances.
  • High coronoid/condylion width ratio indicated reduced effectiveness of malar reduction.
  • A high ratio meant reduced zygion distance did not significantly decrease soft tissue width.

Conclusions:

  • Reduction malarplasty can yield aesthetically pleasing results.
  • Effectiveness is diminished in patients with a high coronoid/condylion width ratio.
  • Correcting mandibular divergence or using orthognathic surgery is essential for these cases.