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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.
Background:
In Eastern aesthetics, a prominent zygomatic region is considered coarse and unattractive, often resulting from protruding zygomatic bones, fat accumulation, and temporal and buccal depressions. Traditional treatment-focused on osteotomy-is associated with trauma and complications and ignores the influence of facial fat compartments on aesthetic outcomes.
Objectives:
To explore the clinical effects of zygomatic microliposuction with temporal and buccal fat grafting in treating a prominent zygomatic region.
Methods:
A retrospective analysis was conducted on 27 patients who underwent zygomatic microliposuction combined with either temporal and buccal fat grafting (n = 15) or temporal fat grafting only (n = 12). The Hollow Severity Rating Scale (HSRS), the temporal-zygomatic-buccal angle, Face-Q™ scale, and self-evaluation questionnaire were completed before surgery and 1 year postoperatively to evaluate and compare surgical outcomes and patient satisfaction.
Results:
Temporal HSRS scores decreased from 2 (2, 3) to 1 (1, 2) (P < 0.001), and buccal HSRS scores in 15 patients decreased from 2 (2, 2.5) to 1 (1, 1) (P < 0.001) from pre- to postsurgery. The median temporal-zygomatic-buccal angle measured on standardized preoperative frontal photographs of the 27 patients was 161° (160°, 162.5°), which significantly increased to a median of 167° (166°, 169.5°) postoperatively (P < 0.01). The Face-Q™ score was 21 (19, 22) [median 87.5 (79.2, 91.7) for standard score points] with 74.07% of patients scoring ≥80 points.
Conclusions:
Zygomatic microliposuction with temporal and buccal fat grafting for the treatment of zygomatic hypertrophy minimizes surgical trauma and has a high satisfaction rate, with a low incidence of postoperative complications.
Level Of Evidence Iv:
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
