Summary
Background
To achieve optimal outcomes in reduction malarplasty, it is important to preserve
the natural curvature of the cheek while reducing the zygoma prominence and the width
of the midface. The present article introduces an effective technique that aims to
achieve these purposes.
Methods
Through an intraoral approach, boomerang-shaped bone incision lines are marked on
the anterior aspect of the zygomatico-maxillary junction. The lines are placed medial
to the most prominent part of the zygoma. The zygomatic arch is divided at its posterior
part through a small incision made in the pre-auricular region. By performing these
manoeuvres, a unit of bone–composed of a part of the zygoma body and zygomatic arch
– is mobilised. The mobilised bone is shifted medially, reducing the width of the
midface and making the zygoma region less prominent. After performing reduction malarplasty
for 89 patients (10 males and 79 females) using this technique, clinical outcomes
were evaluated.
Results
Outcomes of the treatment was optimal, with over 80% of the patients evaluating the
results as excellent in terms of effectiveness in malar prominence, facial width and
symmetry.
Conclusion
Because the continuity of the main part of the zygoma body and zygomatic arch is preserved
in our technique, medial transfer of the zygoma is enabled while preserving the natural
curvature of the malar region and the superior–inferior position of the zygomatic
arch. Because of these advantages, we recommend our technique as an effective technique
of reduction malarplasty.
Keywords
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References
- Topographic anatomy of the zygomatic arch and temporal fossa: a cadaveric study.J Plast Reconstr Aesthet Surg. 2009; 62: 1375-1378
- Prominent zygoma in Orientals: classification and treatment.Ann Plast Surg. 1991; 26: 164-170
- A simple method of reduction malarplasty.Plast Reconstr Surg. 1997; 99: 348-355
- Use of the upper lateral cartilage sagittal rotation flap in nasal dorsum reduction and augmentation.Plast Reconstr Surg. 2009; 123: 1079-1087
- The Eurasian nose: aesthetic principles and techniques for augmentation of the Asian nose with autogenous grafting.Aesthetic Plast Surg. 2007; 31: 28-31
- Reduction malarplasty by 3-mm percutaneous osteotomy.Aesthetic Plast Surg. 2006; 30: 333-341
- Reduction malarplasty.Plast Reconstr Surg. 1997; 100: 461-467
- Reduction malarplasty.Plast Reconstr Surg. 2004; 113: 1497-1499
- Minimally invasive zygoma reduction.Plast Reconstr Surg. 2006; 117: 1972-1979
- Intraoral approach for reduction malarplasty: a simple method.Plast Reconstr Surg. 2003; 111: 453-460
- Reduction malarplasty.Aesthetic Plast Surg. 1983; 7: 121-125
- Consideration of operative procedures for zygomatic reduction in Orientals: based on a consecutive series of 28 clinical cases.Plast Reconstr Surg. 1995; 96: 1298-1306
- Reduction malarplasty.Plast Reconstr Surg. 1991; 88: 53-61
- Reduction malarplasty with a new L-shaped osteotomy through an intraoral approach: retrospective study of 418 cases.Plast Reconstr Surg. 2009; 124: 1245-1253
- Reduction malarplasty through an intraoral incision: a new method.Plast Reconstr Surg. 2000; 106: 1514-1519
Article info
Publication history
Published online: January 27, 2012
Accepted:
December 24,
2011
Received:
March 26,
2011
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
