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New Method for Improving Midface Contour: Zygomatic Microliposuction with Temporal and Buccal Fat Grafting
Xinyu Jia1, Facheng Li1, Bo Yin2
1Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33 Badachu Road, Shijingshan District, Beijing, 100144, People's Republic of China.
Aesthetic Plastic Surgery
|August 6, 2026
Summary
Zygomatic microliposuction with fat grafting effectively reduces prominent cheekbones, offering a less invasive cosmetic surgery option. This technique shows high patient satisfaction and minimal complications for facial contouring.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Facial Anatomy
Background:
- Prominent zygomatic region is aesthetically undesirable in Eastern cultures.
- Traditional osteotomy for zygomatic reduction causes trauma and complications.
- Facial fat compartments significantly impact aesthetic outcomes.
Purpose of the Study:
- To evaluate the clinical efficacy of zygomatic microliposuction combined with temporal and buccal fat grafting.
- To assess patient satisfaction and aesthetic improvements after the procedure.
Main Methods:
- Retrospective analysis of 27 patients undergoing zygomatic microliposuction.
- Comparison between combined temporal/buccal fat grafting (n=15) and temporal fat grafting only (n=12).
- Evaluation using Hollow Severity Rating Scale (HSRS), facial angle measurements, Face-Q™, and self-evaluation.
Main Results:
- Significant reduction in HSRS scores for both temporal and buccal regions (P < 0.001).
- Significant increase in the temporal-zygomatic-buccal angle (P < 0.01).
- High patient satisfaction with 74.07% scoring ≥80 on the Face-Q™ scale.
Conclusions:
- Zygomatic microliposuction with fat grafting is a safe and effective treatment for prominent zygomatic regions.
- The procedure offers reduced surgical trauma and high patient satisfaction.
- Low incidence of postoperative complications observed.
