Category: cheek reduction | temporal reduction

The Posterior Zygomatic Arch Osteotomy For Temporal Process Facial Protrusion

Facial width reduction can be done by a variety of bone reshaping surgeries. Cheekbone osteotomies are a common techniques for reducing midfacial width. This is done by a combined anterior osteotomy done intraorally that goes through the main body of the zygoma and a posterior osteotomy done externally through the temporal process of the back Read More…

The Posterior Zygomatic Arch Osteotomy for Posterolateral Cheek Reduction

Cheekbone reduction surgery is a well known procedure that moves the width of the external cheek appearance inward. It is most commonly done with an intraoral anterior osteotomy through the main body of the zygoma combined with a percutaneous osteotomy through the posterior end of the zygomatic arch. This allows the cheekbone (zygomatic body and Read More…

Technical Strategies – Percutaneous Zygomatic Arch Osteotomy Technique

Cheekbone reduction is a common facial reshaping surgery to help narrow the wide midface. It achieves this effect by bringing inward the convexity of the zygomatic arch. Through an intraoral anterior osteotomy through the zygomatic body and an osteotomy through the posterior process of the zygomatic arch before it attaches to the temporal bone through Read More…

Technical Strategies – Trancoronal Approach for Cheekbone Osteotomies and Reconstruction

Cheekbone reduction is a well known facial reshaping procedure used to narrow the width of the midface. (sides of the cheeks or zygomatic arches) It is done by a combination of an anterior mid cheek osteotomy and a posterior zygomatic arch osteotomy. Numerous variations of these osteotomy patterns have been described to allow the bone Read More…

Plastic Surgery Case Study – Excision of a Traumatic Zygomatic Arch Osteoma

Background: Osteomas are well known benign bony growths which can occur from within, on or even outside of the bone in the surrounding soft tissues. In the craniofacial skeleton, osteomas usually occur as a peripheral lesion arising from the periosteum. While there are multiple etiologies for them the most recognized is that of trauma. The Read More…

Cheekbone Reduction – Intraoral vs Coronal Approach

Cheekbone reduction, also known as reduction malarplasty, is one of the most popular Asian facia contouring procedures. While high popular in such countries as South Korea and China, it remains a very infrequently performed procedure in the U.S. The obvious reason is the difference between Asian and Caucasian facial shapes as well as the cultural Read More…

Patterns of Cheekbone Reduction Osteotomies

Cheekbone reduction is the only facial reshaping procedure in which one reduce the size or width of their cheekbones. It is essentially an inward repositioning of the zygomatic arch which acts like a bridge over the temporalis muscle as it descends to attach to the coronoid process of the lower jaw. The arch bone has Read More…

The Posterior Zygomatic Arch Osteotomy in Cheekbone Reduction (Facial Width Reduction)

The cheekbone occupies a significant part of the midface. It is responsible for the projection and width of the side of the face. The name of the bone, the zygomatic-orbital complex, speaks for the main body of bone and the legs of bone that extend underneath the eye, down onto the maxilla and back towards Read More…

Beveled Posterior Zygomatic Arch Osteotomy in Cheekbone Reduction

Narrowing the wide midface can be done only by bringing in the width of the zygomatic arches. The shape and convexity of the zygomatic arch, like a spanning bridge, is what creates the width of the face between the temporal regions of the head and the lower jawline. Moving this portion of the cheek in Read More…

Technical Strategies – Transcoronal Approach for Posterior Zygomatic Arch Osteotomy

Cheekbone reduction by osteotomies is the only surgical method for narrowing a wide face. While most commonly performed on Asian patients all around the world, I have done an equal number on other ethnicities as well. By performing a bone cut through the main body of the cheek (zygoma) and at the back end of Read More…