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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 - 12 - "Is it required to remove the pins after undergoing facial contouring surgery?"


[Doctor's Surgery Diary]

- 12 -

"Is it required to remove the pins after undergoing facial contouring surgery?"


Hello, I'm Kwon Soon Beom, chief surgeon of Arc Plastic Surgery.

These days, many people ask about pin removal
during a consultation of facial contouring surgery.

Today, I will talk about pin removal.


***


source : Jeil-medical (https://www.medicalexpo.com/prod/jeil-medical-corporation/product-68935-769751.html)


"Pin removal", which refers to the removal of plates and screws used
for fixing fractured bone fragments, is not always medically necessary.
The "pin" used for facial contouring surgery for cosmetic purposes is the same as the one used for corrective surgery resulting from a car accident or facial deformities. 
Unlike pins used for fixation after limb surgery,
they are much smaller in size or thickness, so they don't need to be removed.

The reasons why patients decide to remove the pins are things quite realistic.
Their biggest complaint is the visibility of pins during dental x-rays.
They even dislike just being asked about facial contouring surgery regardless of treatment,
and I remember a patient living in a suburb has a shocking experience
where the dental staff gathered staring at her X-ray with interest.



pre-op of pin removal                        post-op of pin removal



***


Second, many people are currently opting for various procedures for skin and lifting,
and some devices can cause pain in the area where the fixed pin is located.
In particular, surprisingly many people experience pain in the pin area
used in cheekbone surgery when they get lifting treatment on their cheek.



Pin removed after actual facial contouring surgery


***


Third, it is a little rare but some people experience paranasal sinusitis
after cheekbone reduction surgery.
Some people experience sinusitis repeatedly even after enough time has passed,
so some of them come after being recommended to remove pins
at the otolaryngology clinic for proper treatment.
If necessary, there were cases where the paranasal sinus cleaning was requested
at the same time surgery proceeded.
​
***

Lastly, for the chin area, sometimes people undergo a "tightness" feeling
or foreign body sensations at their chin.
Of course, some other people feel that way because their gums are affected
by the scar tissue in the incisional site,
so it should be distinguished by an in-person consultation with the doctor.
In addition to this, there may be various reasons for each individual,
but today I've talked about cases where you decide on a pin removal surgery,
focusing on the most common reasons during my treatment. 

***

If you have any inquiries about pin removal, please feel free to contact ARC Plastic Surgery! Thank you.







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