别名
颧骨前内骨折手术

项目介绍
颧骨内推，是将颧突切割，取下一小段欲缩减的骨头，再将剩余的颧突向内折入，使用骨钉固定，颧弓部分则完全保留原状的手术方法；其主要用于降低正面颧骨的高度，适合于脸型不太宽、但正面突出者。

项目特色
颧骨内推只能降低正面颧骨高度，不能减少侧面颧弓宽度。

功效
脸型美化，减龄，改脸型，颧骨内推

适合人群特征
颧骨过高，颧骨外突

适合人群
脸部宽度正常，但45°颧骨突出者； 颧骨正面、苹果肌过于肥厚者； 颧骨轻微不对称或两边不一致者； 合并做下颌骨缩减者。

关注度
⭐⭐⭐⭐⭐

安全度
⭐⭐⭐✩✩

复杂度
⭐⭐⭐⭐✩

项目优点
完全在口腔内进行，没有外部伤口； 有效改善正面颧骨，过于突出的问题。

项目缺点
只能改善颧骨外突的问题，无明显的宽度缩减效果； 不适用于颧骨过高或极度发达的严重宽脸患者； 骨头愈合与恢复较慢，需8-12周的时间才能完全固定； 脸型缩小效果，可能较不显著。

禁忌人群
心脏病、肝炎、肾炎和肺炎患者； 高血压、血液性疾病、糖尿病和甲亢等患者； 麻醉药有过敏史者； 手术区有感染灶，如龋齿、牙周炎、口腔溃疡者； 手术区有肿瘤患者； 面部有神经性病变者； 瘢痕体质者； 精神病或心理障碍者； 月经期、哺乳期或妊娠期者。

留疤
无

治疗时长
1.5-3小时

麻醉方式
全麻

治疗周期
单次

操作方式
手术

效果持续
持久

恢复时间
6个月

操作人员资质
医疗美容科或整形科执业医师

疼痛感
轻度疼痛

术前必读

1. 手术需要全麻，术前8小时禁食禁水；
2. 术前确定身体健康，无传染性疾病或其他身体炎症；
3. 患有高血压和糖尿病者，应该在面诊时，详实向医生告知病情，以便医生确认手术方案；
4. 术前两周内，请勿服用含有阿司匹林的药物，因为阿司匹林会使血小板凝固的功能降低；
5. 术前不要化妆；
6. 女性要避开月经期、孕期以及妊娠期；
7. 男性要提前戒烟一周。

0天~3天严重肿胀期
恢复提示：
此期肿胀严重，皮肤淤青，疼痛；需要加压包扎，术后伤口会有少量渗血。

护理方法:

1. 术后6小时开始，用漱口液漱口至拆线；
2. 留院观察3-5天；
3. 头戴面罩，加压包扎5-7天，中途不能拆；
4. 吃流食至第五天。

4天~6天快速消肿期
恢复提示：
肿胀逐渐吸收，轻度疼痛。

护理方法:

1. 拆线前不能沾水；
2. 忌辛辣刺激性食物，多吃水果，蔬菜，注意补充蛋白质；
3. 减少活动，严禁用手碰触手术切口；
4. 保证手术部位清洁，防止感染；
5. 如果伤口上有血痂或分泌物，可用无菌盐水擦拭。

7天~7天拆线日
恢复提示：
7天到院拆线（因为术式不同，需按医嘱时间，到院拆线）。

护理方法:

1. 保持伤口清洁，防止感染；
2. 拆线后24小时内，伤口不能沾水；
3. 不可用力揉搓伤口；
4. 注意饮食清淡，禁食辛辣刺激性食物。

8天~15天持续消肿期
恢复提示：
肿胀逐渐吸收，皮肤淤青吸收消失，轻度疼痛，看不出效果，需要佩戴颈颌套。

护理方法:

1. 禁用任何可能影响伤口，愈合的补品、药品；
2. 禁烟酒、辛辣、海鲜等刺激性食物，尽量半流食。

16天~30天组织恢复期
恢复提示：
消肿比较迅速，皮肤淤青完全吸收，练习张口。

护理方法:

1. 持续佩戴颈颌套一个月；
2. 不用总是躺在床上或坐着，可做一些简单的活动，保持良好的心情；
3. 忌辛辣刺激性食物，多吃水果、蔬菜，注意补充蛋白质。

31天~180天效果稳定期
恢复提示：
肿胀逐渐吸收，组织恢复，效果慢慢明显，较佳效果在6个月后。

护理方法:

1. 术后3个月内尽量避免，用力咬较硬东西；
2. 术后3个月内，不得做面部美容按摩，不得搓揉手术区域；
3. 术后3个月内，最好配合戴颈颌套，以预防皮肤的松弛或下垂。

温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同，恢复周期、拆线时间及护理方法均会有所不同。具体护理方案，建议遵医嘱执行。

Alias Name
Infracture Technique for Reduction Malarplasty

Procedure Detail
Zygomatic bone, which protrudes on both sides of the midface, plays an important role in determining the facial impression. Cheekbone reduction is a bone contouring process to reduce the volume and the projection of the cheekbones, by using Infracture Technique for Reduction Malarplasty with a Short Preauricular Incision. Helping to achieve a slimmer and more delicate facial appearance. When the cheekbones are excessively large, they can overpower the beauty of the eyes, thus making them less noticeable.

Features
Reshape in a manner that it reduces facial width while also giving the face more three-dimensional depth as opposed to the flat appearance of people with enlarged cheekbones.

Benefits
Create a softer image; gives a natural and 3D result

Recommended
Malar or cheek bone prominence； pseudo- prominence due to deep temples and cheeks； prominent bony segment

Suitable Candidate
An especially broad face; An unwanted fierce appearance (large malar can give the impression of anger in some cases); An overly masculine appearance; A flat facial structure

Popularity
⭐⭐⭐⭐⭐

Safety
⭐⭐⭐✩✩

Complexity
⭐⭐⭐⭐✩

Pros
Hidden incisions; The major advantage of the intraoral approach over the extraoral approach is avoidance of a skin incision;

Cons
It can only improve the problem of zygomatic protrusion without obvious width reduction effect; not suitable for severely wide-faced patients with excessively high or extremely developed zygomatic bones; bone healing and recovery are slow, and it takes 8-12 weeks to complete fixation ; The face reduction effect may be less significant.

Unsuitable Candidate
Patients with heart disease, hepatitis, nephritis, and pneumonia; patients with hypertension, blood diseases, diabetes, and hyperthyroidism; patients with a history of allergies to anesthetics; patients with infections in the operating area, such as dental caries, periodontitis, and oral ulcers; Tumor patients; those with neurological lesions on the face; those with scar hyperplasia; those with mental illness or psychological disorders; those with menstruation, lactation or pregnancy.

Scar
No

Treatment Time
1 – 3 hours

Anesthesia Method
General anaesthesia

Treatment Cycle
Single time

Procedures Technique
Surgery

Sustained Effect
Permanent

Recovery Period
6 months

Qualification
Practitioner in medical aesthetics or plastic surgeon

Pain Scale
Mild

Before the Procedure

1. The operation required general anesthesia, fasting and water abstinence 8 hours before operation;
2. A comprehensive physical examination should be performed before the operation to confirm that the body is healthy and free from infectious diseases or other body inflammations;
3. Patients with hypertension and diabetes should inform the doctor of the condition during the consultation;
4. two weeks before surgery, do not take drugs containing aspirin, which may reduce platelet coagulation function;
5. Make sure the face is clean before surgery, and makeup is strictly prohibited; 
6. Women should avoid menstruation, pregnancy, and lactation;
7. Quit smoking and drinking one week before surgery.

0 day~3 days Severe swelling period
Recovery tips:
In this period, the swelling is severe, the skin is bruised and painful; pressure bandage is required, and there might be bleeding on the wound after surgery.

Aftercare methods:

1. Starting 6 hours after the operation, rinse with mouthwash; 
2. Stay in the hospital for observation for 3-5 days;
3. Wear a strap for 5-7 days, and cannot be removed halfway;
4. Eat liquid food until the fifth day.

4 – 6 days rapid recovery period
Recovery tips:
swelling gradually absorbed, mild pain.

Aftercare methods:

1. Do not bath or wash face before removing the stitches;
2. Avoid spicy and irritating food, eat more fruits and vegetables, supplement more protein;
3. Reduce activities and do not touch the surgical incision with your hands;
4. Ensure that the surgical site is clean, Prevent infection;
5. If there is blood scab or secretion on the wound, wipe it with sterile saline.

7th day stitch removal day
Recovery tips:
7 days for the stitches to be removed at the hospital (because the procedure is different, the stitches must be removed at the hospital at the time of the doctor’s order).

Aftercare methods:

1. Keep the wound clean to prevent infection; 
2. Within 24 hours after the stitches are removed, the wound should not be exposed to water; 
3. Do not rub the wound vigorously. You can apply scar ointment to lighten the scars; 
4. Opt for a light diet and no spicy food.

8-15 days continuous swelling period
Recovery tips:
The swelling is gradually absorbed, the wound is healed and might be itchy, and the result will slowly show.

Aftercare methods:

1. No supplements and medicines that may affect wounds healing;
2. Avoid smoking, alcohol, spicy food, seafood, try to consume food in semi-liquid form

16 – 30 days tissue recovery period
Recovery tips:
Swelling is reduced quickly, skin bruises are completely absorbed, mouth opening exercise.

Aftercare methods:

1. Wear the chin strap for one month; 
2. do some simple activities and keep a good mood; 
3. Avoid spicy food, eat more fruits, Vegetables, to supplement protein.

31 – 180 days stable effect period 
Recovery tips:
swelling gradually absorbed, tissue recover, the result is gradually obvious, the best effect is after 6 months.

Aftercare methods:

1. Try to avoid biting hard things within 3 months after the operation,
2. do not do facial massage, do not rub the operation area within 3 months after the operation,
3. It is best to wear a jaw strap to prevent sagging within 3 months after the operation.

Reminder
The above postoperative care is for reference only. Due to individual differences and different surgical procedures, the recovery cycle, removal time and aftercare methods will be different. The specific plan is to follow the doctor’s advice.