Reduction Malarplasty

Sumiya, Noriyoshi; Kondo, Shozo; Ito, Yoshinori; Ozumi, Kazutoku; Otani, Kenta; Wako, Masahiko

doi:10.1097/00006534-199708000-00031

Cited by 57 publications

(11 citation statements)

References 4 publications

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“…The basic malar reduction technique involves 2 osteotomies, 1 at the zygomatic body and another at the arch, and reduction of the segment between the osteotomy lines. 4 Various methods of cutting and reducing the segments have been developed and implemented.…”

Section: Discussionmentioning

confidence: 99%

Analysis and Guidelines for Revisional Malarplasty; Most Common Facial Skeletal Contouring Surgery

Choi¹,

Seo

et al. 2021

Journal of Craniofacial Surgery

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Background: Revisional malarplasty is the most frequently performed and difficult to perform revision surgery among facial contouring surgeries. The incidence of postoperative complications and need for revision surgery is increasing because of indiscriminate malar reduction through a narrow surgical space. The authors analyzed cases of revisional malarplasty secondary to complications. Methods: The authors analyzed the time required and technique used in 172 patients who underwent revisional malarplasty in the past 3 years. The incision made for the approach and the graft material used for reconstruction were also investigated. Results: Of 172 patients, 35 (20.3%) underwent emergency revision. Furthermore, 71 (41.2%) required an intraoral incision, and 101 (58.8%) required a coronal incision. A total of 81 (47.1%) patients required artificial or autogenous bone grafts. Conclusions: Patients with failed malarplasty should receive immediate intervention to prevent functional and cosmetic problems. When bone resorption occurs due to unfavorable union or nonunion, reconstruction using appropriate autologous tissue can prevent functional impairment and long-term cosmetic problems.

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Section: Discussionmentioning

confidence: 99%

Analysis and Guidelines for Revisional Malarplasty; Most Common Facial Skeletal Contouring Surgery

Choi¹,

Seo

et al. 2021

Journal of Craniofacial Surgery

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“…A variety of modifications have since been developed based on the aforementioned surgical techniques and procedures. 2 – 4 …”

Section: Discussionmentioning

confidence: 99%

Side-hairline Correction in Korean Female Patients

Park

2015

Plastic and Reconstructive Surgery - Global Open

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Background:To investigate the proper modifications and usefulness of side-hairline correction surgery in Korean female patients depending on different zygomatic bone structures.Methods:Different zygomatic bone structures were classified according to their maximum transverse width among 310 cases of hairline correction surgery in Korean women. The widest transverse width was located on the anterior zygomatic malar area in type 1, on the mid-zygomatic arch in type 2, and on the posterior zygomatic arch in type 3; there was no difference in the transverse width between the anterior and posterior zygomatic arch in type 4. Various modifications of side-hairline correction surgery were performed among the 310 cases according to the zygomatic bone classification.Results:Among 310 patients, 74 had a type 1 zygomatic structure, 106 had type 2, 46 had type 3, and 50 had type 4. Thirty-four patients exhibited different left and right transverse widths: type 1 + 2 (n = 26), type 2 + 3 (n = 6), type 1 + 3 (n = 1), and type 3 + 4 (n = 1). Satisfactory results were obtained in all patients without noticeable side effects. A minor touch-up procedure was performed in 14 patients to achieve density reinforcement 10 months postoperatively, and all 14 patients expressed satisfaction with the results.Conclusions:In East Asian patients, both side-hairline correction surgery and zygoma reduction can be considered eligible treatment options for the purpose of midface slimming. Especially in patients with a type 3 zygomatic bone structure, side-hairline correction surgery may be more effective than zygoma reduction surgery for midface slimming.

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“…Making an incomplete osteotomy on the anterior and a complete osteotomy on the zygomatic arch, in a greenstick fracture. [5][6][7][8][9][10][11][12] We used the greenstick fracture technique through the endoscopic application which is a method proved to be useful for reducing scars and any damage on the skin [13][14][15][16] . This method also is useful not only in enlarging the view of the surgical area, but also undergoing surgery in a very short period of time.…”

Section: (A) (B)mentioning

confidence: 99%

A Revisional Malarplasty: Endoscopic Zygoma Reduction (EZ technique)

Lee¹

2013

Arch Aesthetic Plast Surg

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The reduction malarplasty is becoming prevalent among Asians due to their characteristics of protruding cheekbones. As the cheekbone protrusion is known among the Asians as a feature which gives strong and perhaps a negative impression, people nowadays are relying more on the revisional reduction malarplasty for a symmetrical facial line. At Youtiful Vom Plastic Surgery, eleven cases of malar reduction were performed using the endoscopic zygomatic arch infracture technique (EZ technique) from January to May of 2013. Then, eight patients of the eleven completed a survey based on their level of satisfaction of the surgical process. When performing the surgery, we made a temporal incision and used the endoscopic application to open up the area malar prominence and the previously osteotomy line. We then made a complete osteotomy on the zygomatic arch after making the incomplete osteotomy on the zygomatic body. The surgery was completed after finally infracturing the fragmented segment with a mallet in a greenstick fracture. After the surgical performance, we surveyed the patients regarding their level of satisfaction of the surgery, the anesthesia used during surgery, the recovery period, and the postoperative pain all out of a scale from 1 to 5. Based on our results, the level of satisfaction in terms of the patients' surgical results accounted for 4 out of 5 and a 4.3 out of 5 for the level of satisfaction of patients in terms of the anesthesia used during surgery. Thus, the patients achieved a high level of satisfaction. Like so, the EZ technique is an effective and simple revisional method that can be used to correct the protrusion of the zygomatic arch with also a relatively quick recovery period.

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Reduction Malarplasty

Cited by 57 publications

References 4 publications

Analysis and Guidelines for Revisional Malarplasty; Most Common Facial Skeletal Contouring Surgery

Analysis and Guidelines for Revisional Malarplasty; Most Common Facial Skeletal Contouring Surgery

Side-hairline Correction in Korean Female Patients

A Revisional Malarplasty: Endoscopic Zygoma Reduction (EZ technique)

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