Lee Keun-Cheol, Ha Sung-Uk, Park Jung-Min, Kim Seok-Kwun, Park Si-Hyun, Kim Ju-Heon
Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University, Seo-Gu, Busan, Korea.
Aesthetic Plast Surg. 2006 May-Jun;30(3):333-41. doi: 10.1007/s00266-005-0055-7. Epub 2006 May 4.
Oriental people usually have a wide midface and a prominent malar curve. The zygomatic bone forms the prominence of the cheek, and it is the most important part in determining the ideal oval shape of the face on the frontal view and the character of the oblique profile. Therefore, zygoma contouring is commonly performed. Women with a prominent zygoma have an inferiority complex associated with unattractive facial features resembling aged, melancholic, and strong characters in oriental culture. Zygoma is the highlighted area of the midface and a major determinant of midfacial shape, but harmony with the adjacent area is very important. Therefore, to obtain the optimal outcome of reduction malarplasty, various ancillary procedures must be performed simultaneously. The authors performed 30 reduction malarplasties during the past 2 years. The amount of bone to be removed was determined by the preoperative interview, physical examination, and x-rays. Intraoral incisions provided access to the zygomatic body and lateral orbital rim. After the L-shaped osteotomy, two parallel vertical and transverse osteotomies in the medial part of the zygomatic body, the midsegment was removed. The posterior portion of the zygomatic arch was approached through a stab incision in the preauricular area. A 3-mm osteotome was used. After completion of the osteotomy, the movable zygomatic complex was reduced medially and superiorly, then fixed with miniplates and screws on the zygmaticomaxillary buttress. The combined operations with reduction malarplasty were as follows: reduction of the mandibular angle in 15 cases, rhinoplasty in 14 cases, and double-fold operation in 11 cases. The follow-up period was 2 months to 2 years, and all the patients were satisfied with the results. In conclusion, this method is a very simple, easy, and safe method that reduces the operating time to 1 h and minimizes postoperative edema and swelling. Consequently, recovery time is relatively short, and no conspicuous scars in the preauricular area are left. The authors also performed many ancillary procedures, thereby obtaining optimal satisfaction with their results, including decreased facial width and superior mobilization of the prominent area. They were able to prevent postoperative cheek drooping, and to give the patients a more youthful, charming look.
东方人通常面部中部较宽，颧骨曲线突出。颧骨形成脸颊的突出部分，在正面视图中，它是决定理想椭圆形面部轮廓以及侧面轮廓特征的最重要部分。因此，颧骨轮廓整形手术较为常见。颧骨突出的女性会产生自卑情结，因为在东方文化中，她们不吸引人的面部特征类似衰老、忧郁和强势的形象。颧骨是面部中部的突出区域，也是中面部形状的主要决定因素，但与相邻区域的协调非常重要。因此，为了获得颧骨缩小整形手术的最佳效果，必须同时进行各种辅助手术。作者在过去两年中进行了30例颧骨缩小整形手术。通过术前问诊、体格检查和X光来确定需要去除的骨量。口内切口可通向颧骨体和眶外侧缘。在进行L形截骨后，在颧骨体内侧部分进行两条平行的垂直和横向截骨，中间部分被移除。通过耳前区的小切口进入颧弓后部。使用3毫米的骨凿。截骨完成后，可活动的颧骨复合体向内上方复位，然后用微型钢板和螺钉固定在颧上颌支柱上。与颧骨缩小整形手术联合进行的手术如下：15例下颌角缩小术、14例隆鼻术和11例双眼皮手术。随访期为2个月至2年，所有患者对结果都很满意。总之，这种方法非常简单、容易且安全，将手术时间缩短至1小时，术后水肿和肿胀最小化。因此，恢复时间相对较短，耳前区域不会留下明显疤痕。作者还进行了许多辅助手术，从而获得了对结果的最佳满意度，包括面部宽度减小和突出区域向上移动。他们能够防止术后脸颊下垂，并让患者拥有更年轻、迷人的外观。
