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Facial Surgery @ Kamol Hospital - Thailand Cosmetic & Plastic Surgery


Cheekbone Reduction, Zygoma Reduction



Cheekbone Reduction, Zygoma Reduction

in Bangkok, Thailand 

 

Cheekbone Reduction, Zygoma Reduction

          If the cheekbones are high and excessively prominent this may cause a wide face and reduce attractiveness. Cheekbone reduction may be considered as a surgical procedure to reshape prominent cheekbones and reduce facial width to achieve a more beautiful, balanced and attractive face.  

 

A Good Candidate for Cheekbone Reduction

          Patients with excessively prominent front cheekbones, broad cheekbones and disproportionate or unbalanced facial structure are those that benefit the most from Cheekbone reduction. The surgery can remove or correct bone protrusions making the facial line look sleeker, slimmer, softer and much more beautiful and attractive.  

 

Preparation before surgery

You will consult with the surgeon to discuss your goals and how they can best be achieved. 

  • Physical examination includes a blood test, chest X-ray. If the patient is over 40 years old an ECG will be required to assess if there is any risk from a heart condition.
  • Facial X-ray to analyze the facial structure and choose the most suitable technique.
  • Stop smoking at least two weeks before surgery.
  • Stop taking any anti-inflammatory medications such as Aspirin, Ibuprofen at least two weeks. Avoid herbal supplements and vitamins which may increase with bleeding during and after surgery.

Anatomy of zygomatic bone

Picture 1. Anatomy of zygomatic bone

 

Cheekbone - Zygomatic Reduction surgery

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


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

 

 

 

Zygomatic reduction procedure (cheekbone reduction)

Picture 2. Zygomatic reduction procedure (cheekbone reduction)

 

 

          The cheekbone reduction procedure takes 1-2 hours under general anesthesia. Hospitalization requires 1- 2 nights. 

 

Risks

          Cheekbone reduction, like other facial reduction procedures are low risk however risks associated with it are:

  • 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 frequently using mouthwash. keep the face elevated as much as possible to reduce swelling and wear provided 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 the healing process and ask any questions that you may have.
  • Dissolvable stitches are used in the mouth and external stitches if used are removed after 7 days.

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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