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[ARTICLE] What Is the Difference Between High-L Zygoma Reduction and Conventional Zygoma Reduction Surgery?

When considering zygoma reduction surgery, patients may be concerned not only about the width of the face from the front, but also about the prominence of the cheekbones from a 45-degree angle. Since the location and degree of cheekbone prominence, as well as the underlying bone structure, vary from person to person, it is important to carefully assess the facial shape and anatomical structure before surgery. Conventional 3D zygoma reduction surgery is generally performed through an intraoral incision. The main body of the zygomatic bone is osteotomized in an “L” shape and then repositioned inward. The location of the osteotomy and the amount of bone movement are determined according to the patient’s cheekbone shape and degree of prominence. In relation to this, Dr. Kwon Soon Beom, Chief Director of ARC Plastic Surgery, previously presented research on zygoma reduction techniques at the international aesthetic plastic surgery conference, APS KOREA 2025. The “High-L Zygoma Reduction”...

*Surgery Diary - 2 - "Detailed Design = Basics of Facial Contouring Surgery"

 [Doctor's Surgery Diary] - 2 -

*Detailed Design = Basics of Facial Contouring Surgery*


One of the biggest concerns for those planning cheekbones surgery is "cheek skin sagging".



As shown in Figure 1, there are ligaments around the cheekbones that protect against sagging.

Looking at Figure 2, you can see that the osteotomy line in green is located in the area where these ligaments are located.


Therefore, the extent of detachment, location of the osteotomy, and bone fixation should be determined in consideration of the current patient's bone structure and skin condition.

It is not always for the patient by just simply fixate on it high.

Surgery should be differentiated to suit individual needs, as can be seen in the CT of patients who performed surgery in ARC.

Of course, accurate bone fixation is fundamental.


(These four pictures are postoperative photos corresponding to the above.)






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