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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 - 5 - "Revision Genioplasty Case"

[Doctor's Surgery Diary] - 5 - 

"Revision Genioplasty Case"


Surprisingly, a lot of people who have a concern about having a long chin come to me. And some as many people come for revision surgery as there are for the first surgery.

Let's take a look at one of those cases.



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1-1

1-2


[1]  This is the case that the surgery was performed by reducing only "the chin tip" for the patient concerned about having a long chin.

As the surgery was performed completely by dissection of the skin from the bone, the shortening effect decreased and the chin tip looked wider than pre-op.


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2-1

2-2

[2]  In this case, as well, it literally was performed by reducing only the chin tip without considering the harmony of the connective jawline.

Both of them have thin skin, so the secondary angle was not only palpable but also visible on the outside.

In addition, as only one part was reduced, the skin and bone didn't get harmonized well as well as the skin of the area seemed sagging like a jowl. 


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3_1  #post-op of case 2

3_2  #post-op of case 2

[3]  This is the post-op CT of <Case_2> patient.

The patient wanted to remove the existing wires and remove the secondary angles as well as the angular feeling overall, so the revision surgery was processed by making the line smoother and connecting it to the angle under the ear.

Also, she had zygoma reduction surgery together.



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You don't always have to do two or three types of facial contouring surgery at once, but it's desirable to plan surgery in consideration of getting connected with facial lines.

Plus, proceeding with the surgery considering the condition of the skin surrounding the bone at all times can produce satisfactory results without unnecessary further surgery.







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