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Malar augmentation by osteotomy and advancement

A D Denny1, M W Rosenberg

  • 1Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee, WI.

The Journal of Craniofacial Surgery
|October 1, 1993
PubMed
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This study presents a modified Tessier zygoma plasty technique for malar hypoplasia, achieving excellent malar eminence projection and improved facial form in all patients without complications.

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Aesthetic Surgery

Background:

  • Malar hypoplasia presents a cosmetic challenge, affecting facial aesthetics.
  • Existing zygoma plasty techniques may have limitations in achieving desired projection and stability.
  • Tessier's zygoma plasty is a known procedure for malar augmentation.

Purpose of the Study:

  • To describe a modified Tessier zygoma plasty technique.
  • To evaluate the efficacy and safety of this modified technique in patients with malar hypoplasia.
  • To assess the degree of malar eminence projection and overall facial form improvement.

Main Methods:

  • A modification of Tessier's zygoma plasty was developed.
  • Key modifications include intraoral incision, specific osteotomy sites, preservation of key bony structures, and use of a cranial bone graft for stabilization.

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  • The procedure was performed on 8 patients with malar hypoplasia.

    • Main Results:

    • All 8 patients demonstrated excellent accentuation of malar eminences.
    • Symmetry was maintained post-procedure.
    • No complications were reported during the follow-up period (4-15 months).

    Conclusions:

    • The modified Tessier zygoma plasty is a stable and predictable technique.
    • It effectively improves facial form by increasing malar projection.
    • The technique offers a natural correction without visible scarring.