Alias Name
Zygoma reduction malarplasty, Zygoma reduction plasty

Procedure Detail
Prominent zygomas are perceived as stubborn and unattractive by Asians. To improve the esthetics of prominent zygoma, reduction malarplasty is the most commonly performed facial-contouring surgery in Asian countries. Various techniques of reduction malarplasty have been introduced. Zygoma reduction plasty can be performed through a less aggressive bone shave or by an cheekbone osteotomies (bone cuts). Cheek shaving is done from an intraoral incision and a dremel like tool is used to take down the projection of the cheekbone.

Features
Reduce the width of upper face essentially the cheekbone in order to make the face smaller, oval and more feminine.

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
People who want to improve the flat face due to wide side cheekbones; People who want to improve the fierce and strong image due to protruded cheekbones; People who want to improve sunken cheeks or temples due to protruded cheekbones; People who want to improve a bumpy face line and slim down the cheekbones.

Popularity
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Safety
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Complexity
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Pros
It can reduce the width of the face and lower the cheekbones at the same time; effectively improve the sunken temples and cheeks; effectively improve the side face and the prominent zygomatic arch; the face reduction effect is obvious.

Cons
A potentially sagging face should be considered enough; incision inside the mouth can aggravate the sagging cheeks; The cheekbone reduction may cause facial asymmetry or unnatural curve when the design of the bone excision or procedure is wrong; the face can look artificial and unnatural.

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
About 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.