Effective Reduction Malarplasty Considering Pivot Point

추축 (Pivot Point)를 고려한 효과적인 관골 축소성형술

  • Ha, Ju-Ho (Department of Plastic & Reconstructive Surgery, College of Medicine, Yeungnam University) ;
  • Kim, Yong-Ha (Department of Plastic & Reconstructive Surgery, College of Medicine, Yeungnam University) ;
  • Kim, Tae-Gon (Department of Plastic & Reconstructive Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Jun-Ho (Department of Plastic & Reconstructive Surgery, College of Medicine, Yeungnam University)
  • 하주호 (영남대학교 의과대학 성형외과학교실) ;
  • 김용하 (영남대학교 의과대학 성형외과학교실) ;
  • 김태곤 (영남대학교 의과대학 성형외과학교실) ;
  • 이준호 (영남대학교 의과대학 성형외과학교실)
  • Received : 2011.02.24
  • Accepted : 2011.04.11
  • Published : 2011.05.10

Abstract

Purpose: Reduction malarplasty is one of the common aesthetic procedures performed in the Orient. We have analyzed effective operative methods according to the pivot point for the osteotomy and reposition of the zygoma for reduction malarplasty after confirming the shapes of the individual zygomas. Methods: Thirty-six patients had been received malarplasty over the last 10 years. The average follow-up period was 16 months. We categorized the patients into three groups according to their prominent appearance features. Group I had a prominently protruded zygomatic body, group II had a prominently protruded zygomatic arch, and group III had a prominently protruded body and zygomatic arch. In the group I, two parallel oblique osteotomies on the body, the middle portion was removed, and with the zygomatic arch as the pivot point, the body was repositioned inwards. In the group II, the zygomatic body and arch osteotomy is performed, with the body as the pivot point, and the arch is depressed medially. In the group III, using the two aforementioned methods, the zygoma was repositioned medially. In each case, postoperative complications and patients satisfaction over the surgery were surveyed. Results: Each group had 25, 5 and 12 patients respectively. No significant complications were found except for one patient who experienced a non-union of zygomatic bone. In the case of group I, four patients underwent a secondary operation. Conclusion: Reduction malarplasty is popular as an effective facial contouring surgery. In order to obtain more effective results,however, the zygomatic shape should be identified, and appropriately repositioned by different operative technique according to pivot points.

Keywords

References

  1. Onizuka T, Watanabe K, Takasu K, Keyama A: Reduction malar plasty. Aesthetic Plast Surg 7: 121, 1983 https://doi.org/10.1007/BF01571117
  2. Baek SM, Chung YD, Kim SS: Reduction malarplasty. Plast Reconstr Surg 88: 53, 1991 https://doi.org/10.1097/00006534-199107000-00009
  3. Sumiya N, Kondo S, Ito Y, Ozumi K, Otani K, Wako M: Reduction malarplasty. Plast Reconstr Surg 100: 461, 1997 https://doi.org/10.1097/00006534-199708000-00031
  4. Sumiya N, Ito Y, Ozumi K: Reduction malarplasty. Plast Reconstr Surg 113: 1497, 2004 https://doi.org/10.1097/01.PRS.0000111590.70600.54
  5. Kim YH, Seul JH: Reduction malarplasty through an intraoral incision: a new method. Plast Reconstr Surg 106: 1514, 2000 https://doi.org/10.1097/00006534-200012000-00011
  6. Yang DB, Park CG: Infracture technique for the zygomatic body and arch reduction. Aesthetic Plast Surg 16: 355, 1992 https://doi.org/10.1007/BF01570700
  7. Yang DB, Chung JY: Infracture technique for reduction malarplasty with a short preauricular incision. Plast Reconstr Surg 113: 1253, 2004 https://doi.org/10.1097/01.PRS.0000110217.60491.56
  8. Yang JH, Lee JH, Yang DB, Chung JY: Prevention of complication and management of unfavorable results in reduction malarplasty. J Korean Soc Plast Reconstr Surg 35: 465, 2008
  9. Baek RM, Kim J, Lee SW: Revision reduction malarplasty with coronal approach. J Plast Reconstr Aesthet Surg 63: 2018, 2010 https://doi.org/10.1016/j.bjps.2010.01.007
  10. Kim YH, Cho BC, Lo LJ: Facial contouring surgery for asians. Semin Plast Surg 23: 22, 2009 https://doi.org/10.1055/s-0028-1110098
  11. Uhm KI, Lew JM: Prominent zygoma in orientals: classification and treatment. Ann Plast Surg 26: 164, 1991 https://doi.org/10.1097/00000637-199102000-00009
  12. Lee JG, Park YW: Intraoral approach for reduction malarplasty: a simple method. Plast Reconstr Surg 111: 453, 2003 https://doi.org/10.1097/00006534-200301000-00082
  13. Lee HY, Yang HJ, Cho YN: Minimally invasive zygoma reduction. Plast Reconstr Surg 117: 1972, 2006 https://doi.org/10.1097/01.prs.0000210066.51480.3f
  14. Jin H: Reduction Malarplasty. J Korean Soc Aesthetic Plast Surg 16: 1, 2010