Category: cheek reduction | plastic surgery case study

Plastic Surgery Case Study – The Tail of the Zygomatic Arch Osteotomy for the Wide Posterior Cheek

Background: Decreasing the projection of wide cheekbones can be done effectively by only one procedure, cheekbone reduction osteotomies. This well known procedure accomplishes this width reduction by a combination of anterior and posterior osteotomies The anterior osteotomy is done through an intraoral incision through the zygomatic body, the largest section of the cheekbone. The posterior Read More…

The Anatomic Basis of Cheekbone Reduction Surgery

Excessively wide cheekbones are a not uncommon facial feature that, although often mainly associated with Asian faces, can occur in all ethnicities. The concept of how wide cheekbones have to be to be considered excessive is an individual one. But anatomically they almost all share a significant or undesired convexity to the anterior portion of Read More…

The Pathway of Facial Nerve Branches in Cheekbone Reduction Surgery

Classic cheekbone reduction surgery is done by one cuts at the front and back end not the zygomatic bone. While the front bone cut through the zygomatic body is one intraorally, the back bone cut through the end of the zygomatic arch is done externally. This provides the most direct approach to the bone through Read More…

Technical Strategies – The Posterior Zygomatic Arch Osteotomy in Cheekbone Reduction

Cheekbone reduction surgery is accomplished by a combination of a front and back osteotomy. (bone cut) The front osteotomy is performed intraorally and cuts through the main body of the cheekbone. The back osteotomy is performed through a skin incision and cuts through the end of the smaller zygomatic arch. The two osteotomies work in Read More…

Plastic Surgery Case Study – The Posterior Zygomatic Arch Osteotomy in Cheek Asymmetry Correction

Background: The shape of the cheek is primarily controlled by the projection of the zygomatic body and the convexity of the zygomatic arch behind it. Given the length and potential variability of these combined zygomatic bone shapes, there is ample opportunity for one cheek to be different from the other. The degree of convexity or Read More…

The Course of the Frontal Branch of the Facial Nerve in Cheekbone Reduction and Extended Cheek Implant Surgery

The frontal or temporal branch of the facial nerve courses in front of the ear on its way to the forehead. In so doing it starts deep as it exits from the stylomastoid foramen at the base of the skull and becomes more superficial on its way superiorly through the upper edge of the parotid Read More…

The Safety and Efficacy of Simultaneous Cheek and Jaw Reductions with Facelift Surgery

Facial aging is associated with a predictable set of soft tissue changes that are treated by various forms of facelift surgery. In the U.S. concomitant bone procedures with a facelift are typically augmentative with chin, cheek and temporal implants being the most common. In Asian patients who already have strong facial skeletal features of the Read More…

Modification of the L-Shaped Zygomatic Osteotomy To Add Bracing Support in Cheekbone Reduction Surgery

Cheekbone reduction has been performed with numerous variations to lessen the risks of its most common complications. This consist of either good bone healing (non-union) and soft tissue cheek sagging. By far soft tissue sag is much more likely to occur of which its origins can be multifactorial. Either the cheekbone itself is pulled down Read More…

Plastic Surgery Case Study – The Pattern of 3D Cheekbone Reduction Osteotomies

Background: Cheekbone reduction is a common procedure in the Eastern part of the world where wider faces are more genetically common. However due to immigration, the mixing of various ethnicityies and desired Western facial shapes it is becoming more commonly done in the U.S. by a few surgeons. Cheek width reduction may be sought by Read More…

The Posterior Zygomatic Arch Osteotomy Combined With Temporal Process Reduction for Midfacial Narrowing

Cheekbone reduction surgery is a well known double osteotomy technique for narrowing the width of the face. It uses an anterior zygomatic body bone cut combined with a release of the back end of the zygomatic arch from the temporal bone process. This then allows the cheekbone bone segment to be moved inward making the Read More…