Prevention of Complication and Management of Unfavorable Results in Reduction Malarplasty

광대뼈 축소성형술 시 합병증의 예방과 불만족스러운 결과에 대한 해결방안

  • Yang, Jung Hak (Department of Plastic and Reconstructive Surgery, Dongdaemoon Hospital Medical College of Ewha Womans University Dongdaemoon Hospital) ;
  • Lee, Ji Hyuck (Department of Plastic and Reconstructive Surgery, Dongdaemoon Hospital Medical College of Ewha Womans University Dongdaemoon Hospital) ;
  • Yang, Doo Byung (Jelim Aesthetic Plastic Surgery Clinic) ;
  • Chung, Jae Young (Jelim Aesthetic Plastic Surgery Clinic)
  • 양정학 (이화여자대학교 의과대학 성형외과학교실) ;
  • 이지혁 (이화여자대학교 의과대학 성형외과학교실) ;
  • 양두병 (제림 성형외과) ;
  • 정재영 (제림 성형외과)
  • Received : 2007.08.20
  • Accepted : 2008.05.25
  • Published : 2008.07.10

Abstract

Purpose: Reduction malarplasty is a popular aesthetic surgery for contouring wide and prominent zygoma. However a few patients complain postoperative results and want to revise the midfacial contour. We analyzed the etiology of unfavorable results and treated unsatisfied midfacial contours after reduction malarplasty. Methods: Total 53 patients were performed secondary operation for correction of unfavorable results after primary reduction malarplasty from elsewhere. Midfacial contour was evaluated with plain films and three-dimensional computed tomography. Unfavorable midfacial contours were corrected by secondary malarplasty. Flaring of zygomatic arch was reduced with infracturing technique and prominent zygomatic body was reduced with shaving. Drooped or displaced zygoma complex has been suspended to higher position and fixed with interosseous wiring. As adjuvant procedure, autologous fat injection has been performed in the region of depressed zygomatic body region. Results: The etiology of unfavorable midfacial contour after reduction malarplasty was classified into 7 categories: undercorrection of zygomatic arch(n=8), undercorrection of zygomatic arch and undercorrection of zygomatic body(n=6), undercorrection of zygomatic arch and overcorrection of zygomatic body(n=28), overcorrection of zygomatic body(n=3), simple asymmetry(n=4), malunion(n=2) or nonunion(n=2). Slim and balanced malar contour was achieved with treatment. And most of the patients were satisfied with the results of the surgery. Conclusion: To prevent the unfavorable results after reduction malarplasty, complete analysis of facial contour, choice of appropriate operation technique, precise osteotomy under direct vision, and security of zygoma position are important.

Keywords

References

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