Technical refinements of infracture for the zygomatic body and arch reduction

Nowadays the infracture technique for the zygomatic body and arch has been popularized in Oriental countries for the reduction of zygoma. We can obtain sufficient operative field to handle the zygoma through the intraoral and temporopreauricular incision and control the amount of shaving and infracturing zygomatic prominence. We developed three types of infracture technique for the reduction of the zygomatic body and arch according to the degree of severity of the zygomatic prominence and the shape of the face: Type A, infracturing with bone-to-bone contact for mild prominence with/without a long face; Type B, infracturing beyond bone-to-bone contact for moderate prominence; and Type C, infracturing far beyond bone-to-bone contact and microplate fixation for severe prominence with/without a broad and short face. By applying the criteria described above, we can obtain aesthetically acceptable results in zygoma reduction.