VIP International Plastic Surgery Center in KOREA - Cheekbone Reduction

Aesthetics of Cheekbone
Types of Cheekbone Protrusion
The cheekbone is divided into various types based on the protrusion.
The surgery method is decided accordingly.


Forward protrysion of zygomatic body


Sideward protrusion of zygomatic body

Sideward protrusion of zygomatic arch


Protrusion of zygomatic body and arch together


Normal zygoma but pseudo-protrusion
due to atrophied peripheral soft tissues

Cheekbone Reduction
The methods differ according to the types of protrusion .
The prominence of the cheekbone can be shaved down or a piece of the cheekbone can be removed
Application Forward and sideward protrusion of zygomatic body
Mild protrusion of zygomatic arch
Skin incision Approach from inside of the mouth
Prominence of the cheekbone can be shaved or
a piece of cheekbone can be removed
Prominence of the cheekbone can be shaved or a piece of
cheekbone can be removed

Application Sideward protrusion of the zygomatic body
and Protrusion of the body and arch together
Skin incision 3~5cm incision inside of the mouth and temple area
The prominence of the zygomatic arch can be partially cut
in three parts, fractured and repositioned inward

Application Sideward protrusion of the zygomatic arch
Skin incision 3~5cm incision inside of the mouth and temple area
The prominence of the zygomatic body
and arch can be cut, fractured and repositioned inward, and then fixed
and then fixed
Application PProminent protrusion of the zygomatic body
and arch or Expected sagging face after cheekbone reduction
Skin incision In the scalp
What is the endoscopic cheekbone reduction
In cases when the face is expected to sag after the cheekbone reduction, incision in the scalp is recommended. Some of the disadvantages are that it is a big procedure and leaves a long scar in the scalp. This procedure enables the cheekbone reduction to be performed from inside the mouth and the facial soft tissues to be lifted at the same time through the endoscopic facelift.
Incision inside the mouth
Most cases can be done from inside the mouth. This does not leave visible scars even after the cheekbone surgery, which is an advantage. However, in case of the protrusion in front of the ear of the zygomatic arch, this area cannot be fractured and fixed, which is a disadvantage. In addition, the incision inside the mouth can aggravate the sagging face. In such case, facelift to lift the facial soft tissues in parallel can prevent the sagging face.
Incision in the scalp
This is applied to the prominent protrusion of the zygomatic body and arch. It is incised from one ear to the other ear in the scalp, so the forehead and cheekbones can be totally exposed. Therefore, the cheekbones can be fixed securely and slightly upward. It can also be used when the sagging face is expected.
However, it may lead to disadvantages, such as a big scar due to a big incision, and though not common, may result in sunken temple, facial nerve palsy, or considerable bleeding.
Incision in front of the ear
This is used for fracture of the zygomatic arch.
Incision below the eye
This is used for partial fracturing or shaving of the zygomatic body side.
Notice and complications
The natural curve should be achieved
The cheekbone is a three dimensional structure which forms the center area of the face and has the beauty of curve.
If the natural curve disappears after the reduction of prominence, the face looks artificial and unnatural.
Therefore, when shaved or removed, the beauty of curve should be considered, for which it is desirable to remove the straight part rather than the curved part after the fracture of the bone.
To this end, surgeons should have an excellent artistic sense and ample knowledge.
A potentially sagging face should be considered enough.
For patients in their twenties, there is not a big problem regarding sagging face after the surgery. However, for those in their thirties to forties, the cheekbone reduction though an incision inside the mouth can aggravate the sagging cheeks. In such case, the cheekbone reduction through an incision in the scalp or the endoscopic facelift simultaneously with the cheekbone reduction can prevent the sagging cheeks.
Post-surgery scars should be well thought out.
This is not a problem except for the scalp incision method. The scalp incision is effective in reducing the cheekbone but leaves a long scar. Thus, unless necessary, incision inside the mouth is desirable with the endoscopic facelift to prevent the sagging cheek. If the scalp incision method is necessary, a plastic surgery specialist with substantial knowledge and experience is required in order to minimize hair damage and scars.
The asymmetry and unbalance should be prevented.
The cheekbone reduction may cause facial asymmetry or unnatural curve when the design of the bone excision or procedure is wrong. The bone-excised area may look sunken without a natural curve. Therefore, the craniofacial surgery should be performed by skilled plastic surgery specialists with substantial knowledge and wide experiences.
There shouldn’t be any aftereffects, such as facial nerve palsy or sunken temple.
These aftereffects are complications related to the scalp incision method. However, they do not occur when performed by skilled plastic surgery specialists.