Reposition and Fixation in Reduction Malarplasty.

Hwang, So Min; Choi, Soo Jong; Bae, Yong Chan; Baek, Rong Min; Baek, Se Min

Original Article

Journal of Korean Cleft Palate-Craniofacial Association 2002;3(2):141-146.

So Min Hwang, Soo Jong Choi, Yong Chan Bae, Rong Min Baek, Se Min Baek

¹Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University, Pusan, Korea. hwangsm@pusan.ac.kr
²Department of Plastic and Reconstructive Surgery, College of Medicine, Inje University, Seoul, Korea.

Abstract

Reduction malarplasty is one of the common aesthetic procedures performed in the Asia. Several surgical techniques for malar reduction have been reported. In reduction malarplasty, 'reposition of mobile malar complex to more cosmetically beneficial point' is more important than making flat malar complex. 'Fixation of bone on body and arch' is important for considering the action of attached masticating muscle to zygomatic bone. We have performed reduction malarplasty which consists of lateral orbital osteotomy and oblique osteotomy on zygomatic arch, reposition of mobile malar complex to more cosmetically beneficial point, and fixation of bone on body and arch with wires through bicoronal incisions over 700 patients from January, 1984 and through preauricular and intraoral incisions in 30 patients from December, 1997 to December, 2001. Preauricular and intraoral approaches can be indicated in most cases of mild to moderate prominence and malposition of malar complex, and bicoronal approach can be indicated in cases of severe prominence and malposition of malar complex and need of combined procedures such as face lift, frontal and orbital contouring. We have obtained satisfactory results with using reposition and fixation in reduction malarplasty.

Keywords: Reduction malarplasty; Reposition; Fixation