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Kamol Hospital - Thailand Cosmetic & Plastic Surgery

Facial Surgery @ Kamol Hospital - Thailand Cosmetic & Plastic Surgery

Cheekbone Reduction, Zygoma Reduction in Bangkok, Thailand 


Cheekbone Reduction, Zygoma Reduction

          The cheekbones are important features located at the center of the face. If the cheekbones are excessively prominent, they create a harsh, intense, or fierce impressions. In this case, cheekbone reduction may be considered as a procedure to reshape prominent cheekbones, reduce facial width to achieve finer balance and an attractive face.


A good candidate for cheekbone reduction

          The patients who may find cheekbone reduction suitable include those with excessively prominent front cheekbones, wide cheekbone and disproportionate or unbalanced facial structure. Some people may have a sunken area under the cheekbones. As for the expected results, the procedure can remove or correct bone protrusions, making the facial line look sleeker, slimmer, softer, and more attractive.


Preparation before surgery

  • Physical examination includes blood test, chest X-ray, and EKG the patient is over 40 years old to assess if there is any risk from heart condition
  • Facial X-ray in order to analyze the facial structure and choose the most suitable technique
  • Stop smoking for at least 2 weeks before surgery
  • Stop taking any anti-inflammatory medications such as Aspirin, Ibuprofen at least two weeks. Also avoid herbal supplements and vitamins which may increase with bleeding during and after surgery
  • Plan for recovery period

shows Zygomatic Bone, Zygomatic arch

Picture 1. Anatomy of zygomatic bone


Zygomatic reduction Procedure

          Our technique is L-shaped osteotomy, or two-site osteotomy and rotation method. This procedure involves two incisions: one is intra-oral for zygomatic body and the other is located in front of the ear behind sideburn for zygomatic arch. The incision is small to minimize the scar.   


          Frontal site osteotomy (anterior osteotomy) of zygoma, means that zygomatic body isn to be cut by a special saw into an L-shape. And the back-site osteotomy (posterior osteotomy) means that zygomatic arch is to be cut. The cheekbone must be rotated inwardly and fixed by mini-titanium plate and screws to prevent further bone movement. The surgeon creates smooth step of the bone. The intra-oral incision will be closed using absorbable suture. The outside incision will be closed with fine sutures.



shows Zygomatic Bone, Zygomatic arch

Picture 2. Zygomatic reduction procedure (cheekbone reduction)



          The cheekbone reduction procedure takes 1-2 hours under general anesthesia. Hospitalization will be required for 1- 2 nights.


Risks and Complications

          Cheekbone reduction, like other facial reduction procedures, does involve common risks such as infection, bleeding, blood clot, bruising, swelling, injury to the surrounding tissue and nerves, or blood vessels and allergic reactions to anesthesia. Risks that are unique to this procedure include:

  • Numbness
  • Decreased skin sensation over the surgical area
  • Asymmetry cheekbones
  • Tightness when opening the mouth
  • Zygomatic arch fracture
  • Unstable zygomatic bone
  • Zygomatic bone and arch malposition after surgery
  • Revision surgery may be required


Postoperative care

          It is important to take good care to prevent infection by using mouth wash often, keep the face elevated as much as possible to reduce swelling, gentle movement for support blood circulation, wearing a compression bandage at all times for three days, and when sleeping for one month.

  • Avoid aggressive activities for a month after surgery
  • Stop smoking or drinking alcohol for at least two weeks after surgery
  • Keep any follow-up appointments with your surgeon to check healing process and ask any questions that may concern you
  • Stitches are taken off seven days after surgery, whereas absorbable stitches are used in the mouth


You can return to work 7-10 days after surgery, but there may still be some swelling. You can resume exercising four weeks after surgery.


Positioning of Zygoma Reduction (Cheekbone Reduction) Positioning of Zygoma Reduction (Cheekbone Reduction)

Figure 3: Positioning of zygoma reduction (cheekbone reduction)


Cheekbone Reduction, Zygoma Reduction Before & After

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