Clinical Presentation
Women with prominent zygomatic features often experience an inferiority complex due to facial characteristics perceived as aged, melancholic, and strong in oriental cultural contexts [PMID:16733778].
Diagnosis
The amount of bone to be removed was determined through preoperative interviews, physical examinations, and x-rays before performing the reduction malarplasty [PMID:16733778].
Management
Through L-osteotomy without bone strip resection, combined with creating space by removing the posterior wall of the maxillary sinus, and fixation with wire and plate, satisfactory outcomes were achieved in 139 patients with no major complications reported 6 months postoperatively [PMID:28536928].
The authors performed 30 reduction malarplasties using a 3-mm osteotome for L-shaped osteotomy and ancillary procedures, achieving medial and superior reduction of the zygomatic complex [PMID:16733778].
Complications
After performing the procedure on 139 patients, there were no major complications noted 6 months postoperatively, indicating the safety of this technique [PMID:28536928].
Prognosis & Follow-up
Clinical outcomes were evaluated positively, with most patients responding to satisfaction surveys as excellent or good following the reduction malarplasty [PMID:28536928].
References
1 Yang HW, Hong JJ, Koo YT. Reduction Malarplasty that Uses Malar Setback Without Resection of Malar Body Strip. Aesthetic plastic surgery 2017. link 2 Lee KC, Ha SU, Park JM, Kim SK, Park SH, Kim JH. Reduction malarplasty by 3-mm percutaneous osteotomy. Aesthetic plastic surgery 2006. link
2 papers cited of 3 indexed.