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A simple method of reduction malarplasty

Y J Hwang1, J Y Jeon, M S Lee

  • 1Department of Plastic and Reconstructive Surgery, Minjung Hospital, Konkuk University College of Medicine, Seoul, Korea.

Plastic and Reconstructive Surgery
|February 1, 1997
PubMed
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This study introduces a new surgical technique for zygoma reduction, addressing prominent cheekbones in Asian facial structures. The method offers effective facial contouring with minimal scarring and improved patient outcomes.

Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Facial Anatomy

Background:

  • The mesocephalic (short and wide) facial structure common in Oriental populations, particularly with a prominent zygoma (cheekbone) and flat nose, can create a perception of a flatter face.
  • Prominent zygoma is associated with unfavorable social connotations in Korea, leading many patients to seek surgical reduction for psychological relief and a more youthful appearance.

Purpose of the Study:

  • To develop and evaluate a simple, effective surgical technique for reducing prominent zygoma.
  • To improve aesthetic outcomes and patient satisfaction compared to previous zygoma reduction methods.

Main Methods:

  • A novel zygoma reduction technique was performed on 26 patients.
  • The procedure involved shaving the zygoma body and inwardly displacing the zygomatic arch after specific fracturing (two-point, greenstick anteriorly, complete osteotomy posteriorly).

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  • Incisions were made via a small preauricular and upper buccal sulcus approach.

    • Main Results:

    • The technique yielded satisfactory aesthetic results.
    • Advantages included a small, inconspicuous scar, simplicity and effectiveness of the procedure, absence of foreign materials (wires or miniplates), and reduced postoperative discomfort.

    Conclusions:

    • The described zygoma reduction method is a simple and effective technique for addressing prominent cheekbones.
    • It offers significant aesthetic and psychological benefits with minimal surgical invasiveness and improved patient comfort.