Cheekbone Reduction

Cheekbone reduction surgery, also known as malarplasty, zygoma reduction, or simply cheek reduction, is a cosmetic surgical procedure that aims to reduce the prominence or width of the cheekbones. It is typically performed on individuals who have naturally wide or prominent cheekbones that they wish to make less prominent for aesthetic purposes.

Zygoma reduction surgery is a complex procedure that requires the expertise of a skilled and experienced plastic surgeon. During the procedure, the surgeon makes incisions either inside the mouth or along the hairline above the temples. Through these incisions, the surgeon accesses the cheekbones and carefully removes or reshapes the bone to achieve the desired reduction. In some cases, the surgeon may also combine cheekbone reduction with other procedures, such as jaw contouring or chin augmentation, to achieve a more balanced facial appearance.

Cheekbone reduction surgery is typically performed on individuals who have naturally wide or prominent cheekbones and desire a more balanced or proportionate facial appearance. It is a cosmetic procedure that aims to reduce the size, width, or prominence of the cheekbones.

Candidates for cheekbone reduction surgery may include:

1. Individuals with genetically wide or prominent cheekbones: Some people may have naturally prominent or wide cheekbones due to their bone structure. This can create a facial appearance that is perceived as overly angular or asymmetrical. Cheekbone reduction surgery can help address these concerns and create a more harmonious facial contour.
2. Individuals seeking facial feminization: In the context of gender-affirming surgeries, some transgender women may opt for cheekbone reduction surgery as part of their facial feminization procedures. By reducing the prominence of the cheekbones, the procedure can help achieve a softer and more feminine facial appearance.
3. Individuals with facial asymmetry: Cheekbone reduction surgery can also be considered for individuals with facial asymmetry, where one cheekbone is significantly more prominent than the other. The procedure can help create a more balanced and symmetrical facial appearance.

It is important to note that cheekbone reduction surgery is a personal choice and should be carefully considered. A thorough consultation with a qualified plastic surgeon is essential to assess your individual case, discuss your goals and expectations, and determine if you are a suitable candidate for the procedure. The surgeon will evaluate your facial anatomy, bone structure, and overall health to provide personalized recommendations and guidance.

Cheekbone reduction surgery is a complex surgical procedure that involves reducing the size, width, or prominence of the cheekbones. The specific technique used can vary depending on the patient's individual needs and the surgeon's approach. Here is a general overview of how the procedure is typically performed:

1. Anesthesia: The surgery is usually performed under general anesthesia, ensuring that the patient remains unconscious and pain-free throughout the procedure.
2. Incision placement: The surgeon will determine the most appropriate incision placement based on the patient's specific case. The incisions are typically made either inside the mouth (intraoral approach) or along the hairline above the temples (temporal approach).
3. Accessing the cheekbones: Through the chosen incisions, the surgeon gains access to the cheekbones. The underlying bone is carefully exposed, taking care not to damage surrounding structures.
4. Bone reduction: The surgeon will then proceed to reduce the size or width of the cheekbones. This can involve removing a portion of the cheekbone or reshaping it to achieve the desired contour. Surgical tools such as a burr or saw may be used to precisely sculpt the bone.
5. Fixation: After the desired reduction is achieved, the surgeon may use specialized plates, screws, or other fixation devices to secure the reshaped cheekbones in their new position.
6. Closure: The incisions are then closed with sutures or other closure techniques. If the incisions were made inside the mouth, dissolvable sutures may be used. If the incisions were made along the hairline, non-dissolvable sutures may be used and typically require removal after a certain period.
7. Post-operative care: The patient will be provided with specific post-operative instructions, which may include guidelines for pain management, wound care, and activity restrictions. Swelling and bruising are common after the surgery, but they gradually subside over time.

It is important to note that the exact details of the surgical technique may vary depending on the patient's specific case and the surgeon's expertise. A thorough consultation with a qualified and experienced plastic surgeon is essential to determine the most appropriate approach and to discuss the expected outcomes, risks, and recovery process associated with cheekbone reduction surgery.

Preparing for cheekbone reduction surgery involves several steps to ensure a safe and successful procedure. Here are some general guidelines to help you prepare:

• Consultation with a plastic surgeon: Schedule a consultation with a qualified and experienced plastic surgeon who specializes in facial contouring procedures. During the consultation, discuss your goals, medical history, and any concerns you may have. The surgeon will evaluate your facial anatomy, bone structure, and overall health to determine if you are a suitable candidate for cheekbone reduction surgery.
• Medical evaluation: Your surgeon may request a comprehensive medical evaluation to ensure you are in good overall health and can safely undergo surgery. This may include blood tests, imaging studies, and a review of your medical history and current medications.
• Quit smoking and avoid certain medications: If you are a smoker, it is essential to quit smoking several weeks before surgery, as smoking can impair the healing process. Additionally, your surgeon will provide instructions on which medications, such as blood thinners or herbal supplements, to avoid before surgery, as they can increase the risk of bleeding or other complications.
• Follow pre-operative instructions: Your surgeon will provide specific pre-operative instructions to follow in the days leading up to your surgery. This may include fasting before the procedure, avoiding certain skincare products, or adjusting current medications.
• Arrange for a support system: It is important to have a support system in place for the day of the surgery and during the initial recovery period. Arrange for someone to accompany you to the surgical facility, as you may be groggy from anesthesia and require assistance afterward.
• Plan for post-operative recovery: Take time off work or other obligations to allow for proper rest and recovery after the surgery. Make sure your home is prepared with necessary supplies, such as soft foods, ice packs, and comfortable pillows.
• Follow fasting guidelines: Your surgeon will provide specific instructions regarding fasting before surgery. It is crucial to follow these guidelines to reduce the risk of complications during anesthesia.
• Arrange transportation: Since cheekbone reduction surgery is typically performed under general anesthesia, you will not be able to drive yourself home afterward. Arrange for a responsible adult to drive you to and from the surgical facility on the day of the procedure.

It is important to note that these are general guidelines, and your surgeon will provide personalized pre-operative instructions based on your specific case and medical history. It is crucial to follow these instructions closely to ensure a smooth and successful surgical experience.

The recovery period following zygoma reduction surgery can vary from person to person. Here are some general expectations and guidelines for the recovery period:

• Swelling and bruising: Swelling and bruising around the surgical area are common after the procedure. This can last for several weeks, gradually improving over time. Applying cold compresses and keeping your head elevated can help reduce swelling.
• Pain management: You may experience some discomfort or pain after the surgery. Your surgeon will prescribe pain medications or recommend over-the-counter pain relievers to manage any discomfort. Follow your surgeon's instructions regarding medication usage.
• Dressings and sutures: Your surgeon may place dressings or bandages over the incision sites to protect them during the initial healing phase. Sutures used may be dissolvable or non-dissolvable, depending on the incision type. Non-dissolvable sutures may need to be removed during a follow-up appointment.
• Oral hygiene and diet: If the incisions were made inside the mouth, you may be advised to follow a soft-food diet and practice good oral hygiene to prevent infection. Your surgeon will provide specific instructions about dietary restrictions and oral care during the recovery period.
• Activity restrictions: You will need to limit physical activities, avoid strenuous exercise, and avoid activities that could potentially impact the healing process, such as contact sports, for a period of time as advised by your surgeon.
• Follow-up appointments: Your surgeon will schedule follow-up appointments to monitor your healing progress. During these appointments, the surgeon will assess the incisions, address any concerns or questions you may have, and provide further instructions for your recovery.
• Final results: It is important to note that the final results of cheekbone reduction surgery may take several months to fully manifest. As the swelling subsides and the tissues heal, you will gradually see the reshaped cheekbones and the desired facial contour.
• Emotional and psychological recovery: Facial surgery can have emotional and psychological impacts. It is normal to experience a range of emotions during the recovery period. If needed, seek support from friends, family, or a mental health professional to help you navigate any emotional challenges.

It is crucial to closely follow your surgeon's post-operative instructions and attend all scheduled follow-up appointments. If you experience severe pain, excessive bleeding, infection, or any other concerning symptoms, contact your surgeon immediately.

Remember, every individual's recovery experience can differ, and your surgeon will provide specific instructions tailored to your case. Patience and adherence to the prescribed recovery guidelines are key to achieving the best possible outcome.

Cheekbone reduction surgery, like any other surgery, carries certain risks and potential complications. While the majority of patients experience a smooth recovery, it is important to be aware of possible risks. Some of the potential risks and complications that may arise after malarplasty include:

• Infection
• Bleeding
• Hematoma
• Nerve injury
• Scarring
• Asymmetry
• Unsatisfactory results
• General anesthesia risks such as adverse reactions to anesthesia and respiratory problems, It is important to discuss these potential risks and complications with your surgeon before the procedure. Choose a board-certified plastic surgeon who has experience in performing facial contouring surgeries to minimize the likelihood of complications. Follow all pre-operative and post-operative instructions provided by your surgeon to promote proper healing and reduce the risk of complications.

The cost of cheekbone reduction surgery can vary widely depending on various factors, including the surgeon's experience and reputation, geographic location, facility fees, anesthesia fees, pre-operative tests, post-operative care, and the specific techniques used during the procedure. It is advisable to consult with a board-certified plastic surgeon for an accurate estimate based on your individual case.

That being said, on average, the cost of cheekbone reduction surgery can range from $3,000 to $10,000 or more. This estimate typically covers the surgeon's fee, anesthesia fees, and facility fees for a standard cheekbone reduction procedure. However, it does not include additional costs such as pre-operative consultations, post-operative medications, follow-up appointments, or any potential complications or revisions that may arise.

It's important to note that cost should not be the sole determining factor when choosing a surgeon or facility for cheekbone reduction surgery. The experience, qualifications, and reputation of the surgeon are crucial considerations. Additionally, you should thoroughly discuss the details of the procedure, including all associated costs, during your consultation with the surgeon.

Furthermore, it's worth checking with your insurance provider to determine if cheekbone reduction surgery is covered under your policy. In most cases, cosmetic procedures are not covered, but there may be exceptions if the procedure is deemed medically necessary due to functional or structural issues.

Cheekbone reduction and buccal fat reduction are two distinct surgical procedures that target different aspects of the face. Here's a breakdown of the differences between the two procedures:

Cheekbone Reduction: Cheekbone reduction, also known as zygoma reduction or malarplasty, is a surgical procedure that aims to reduce the prominence or width of the cheekbones. It is typically performed to address wide or overly prominent cheekbones, creating a more balanced and proportionate facial appearance. The procedure involves reshaping or partially removing a portion of the zygomatic bone to achieve the desired reduction. Cheekbone reduction surgery is often recommended for individuals with prominent cheekbones that are causing aesthetic concerns or facial disharmony.

Buccal Fat Reduction: Buccal fat reduction is a surgical procedure that specifically targets the buccal fat pads, which are naturally occurring fat deposits located in the lower cheeks. This procedure is intended to create a more sculpted and contoured appearance by reducing the fullness in the lower cheek area. It is typically performed on individuals who have naturally round or chubby cheeks, even with a healthy body weight. During the procedure, a small incision is made on the inside of the mouth, and a portion of the buccal fat pad is carefully removed or reduced. This can result in a more defined facial contour and cheek hollowing.

In summary, cheekbone reduction focuses on reducing the width or prominence of the cheekbones, while buccal fat reduction targets the reduction of excess fat in the lower cheek area for a more defined facial contour. The two procedures can be performed individually or in combination, depending on the patient's specific concerns and desired outcome. It's important to consult with a qualified plastic surgeon who can assess your facial anatomy and recommend the most appropriate procedure(s) to achieve your aesthetic goals.

Will cheekbone reduction surgery leave scars on my face?

The type and location of incisions used in cheekbone reduction surgery can play a significant role in the visibility of scars. Skilled surgeons employ various techniques to minimize scarring and choose incision placements strategically. For example, incisions made inside the mouth (intraoral approach) or within natural skin creases (preauricular or temporal approaches) can help hide scars and make them less noticeable. By carefully planning and placing the incisions, surgeons aim to achieve optimal aesthetic results while minimizing visible scarring.

Is the outcome of cheekbone reduction surgery permanent?

Yes, the outcome of cheekbone reduction surgery is generally considered permanent. Once the surgery is performed and the excess bone is reduced or reshaped, the changes made to the structure of the cheekbones are typically long-lasting. However, it's important to note that the aging process and natural changes in the face over time may still affect the overall appearance.

How long does it take to see the results of zygoma reduction surgery?

The initial results of zygoma reduction surgery can typically be seen immediately after the procedure, once the swelling subsides. However, it's important to note that the final results may take several weeks to months to fully manifest. Swelling and bruising are common after the surgery and can take some time to resolve. As the swelling goes down and the tissues heal, the final outcome becomes more apparent.

How long does cheekbone reduction surgery last?

On average, zygoma reduction surgery can take anywhere from 1 to 3 hours to complete. The duration of cheekbone reduction surgery can vary depending on various factors, including the complexity of the procedure, the surgeon's technique, and individual patient characteristics.