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Strategic Approach for Effective Reduction Malarplasty: Depending on Malar Protrusion Type
Sung Jae Ahn1, Kyung Min Lee, Jihyuck Lee
1Center for Facial Bone Surgery, Department of Plastic Surgery, ID Hospital, Seoul, Republic of Korea.
The Journal of Craniofacial Surgery
|March 10, 2026
Summary
This study introduces a classification system for reduction malarplasty, tailoring surgical techniques to three zygomatic types for improved facial contouring and patient satisfaction. Personalized surgical planning enhances outcomes in this popular procedure.
Area of Science:
- Plastic Surgery
- Facial Anatomy
- Aesthetic Surgery
Background:
- Reduction malarplasty is common for facial contouring, especially in Asian populations.
- Existing techniques lack standardization for diverse zygomatic morphologies.
- Optimizing outcomes requires tailored approaches based on individual anatomy.
Purpose of the Study:
- To develop a strategic, classification-based approach for reduction malarplasty.
- To standardize surgical techniques according to zygomatic type.
- To enhance aesthetic outcomes and patient satisfaction.
Main Methods:
- A cohort of 3997 patients undergoing reduction malarplasty was analyzed over 3 years.
- Patients were classified into three zygomatic types using clinical and radiological assessments.
- Surgical techniques, including ostectomy and zygomatic body manipulation, were customized per type.
Main Results:
- The classification enabled precise osteotomy modifications, improving contour and satisfaction.
- Beveled zygomatic arch osteotomy enhanced bone healing and reduced complications.
- Specific techniques like L-osteotomy and orbital rim shaving addressed prominent orbital rims.
Conclusions:
- A systematic, classification-based approach enhances precision and predictability in reduction malarplasty.
- Individualized surgical planning is crucial for optimal aesthetic results and patient satisfaction.
- Further long-term studies are recommended to refine these techniques.

