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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”...

[ARTICLE] Should You Remove Old Pins from Facial Contouring or Two-Jaw Surgery? Precision Diagnosis Is Key

An increasing number of people who have undergone facial contouring or two-jaw (orthognathic) surgery in the past are now considering whether to have their surgical pins removed. Pins are typically used in procedures like zygoma reduction, mandibular angle reduction, and chin reduction to fix repositioned facial bones in place and ensure proper bone healing. Pin removal is generally possible at least six months after surgery. However, many patients delay the procedure, and in some cases, several years may pass. Dr. Soonbeom Kwon, Chief Director of ARC Plastic Surgery Clinic, advises, “If more than 10 years have passed since surgery, the pins are likely to have adhered to the bone or surrounding tissues. Therefore, a detailed evaluation using 3D CT scans is essential to precisely determine the pin’s location and the bone condition before proceeding carefully.” It’s important to note that pin removal is not always necessary. However, it may be considered in the following cases: if the patient wishes to hide evidence of prior surgery, if metallic materials show up during health screenings and cause discomfort, if there is ongoing pain or a foreign body sensation around the pin, or if trauma or impact poses a potential risk. Dr. Kwon explained, “Even if a long time has passed since the initial surgery, pin removal can be performed safely with accurate analysis and skilled surgical technique. However, if the pin is heavily adhered to surrounding tissues, the procedure may become more complex—making the judgment of an experienced surgeon especially important.” After pin removal surgery, patients may experience temporary pain or swelling. It is recommended to avoid hard or chewy foods and to get sufficient rest. Dr. Kwon added, “During recovery, it’s best to refrain from strenuous activities and to keep the surgical site clean, which helps promote proper healing.” – Medical Today, Reporter Seongwoo Cho (ostin0284@mdtoday.co.kr)

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