A Revisional Malarplasty: Endoscopic Zygoma Reduction (EZ technique)

Abstract

The reduction malarplasty is becoming prevalent among Asians due to their characteristics of protruding cheekbones. As the cheekbone protrusion is known among the Asians as a feature which gives strong and perhaps a negative impression, people nowadays are relying more on the revisional reduction malarplasty for a symmetrical facial line. At Youtiful Vom Plastic Surgery, eleven cases of malar reduction were performed using the endoscopic zygomatic arch infracture technique (EZ technique) from January to May of 2013. Then, eight patients of the eleven completed a survey based on their level of satisfaction of the surgical process. When performing the surgery, we made a temporal incision and used the endoscopic application to open up the area malar prominence and the previously osteotomy line. We then made a complete osteotomy on the zygomatic arch after making the incomplete osteotomy on the zygomatic body. The surgery was completed after finally infracturing the fragmented segment with a mallet in a greenstick fracture. After the surgical performance, we surveyed the patients regarding their level of satisfaction of the surgery, the anesthesia used during surgery, the recovery period, and the postoperative pain all out of a scale from 1 to 5. Based on our results, the level of satisfaction in terms of the patients' surgical results accounted for 4 out of 5 and a 4.3 out of 5 for the level of satisfaction of patients in terms of the anesthesia used during surgery. Thus, the patients achieved a high level of satisfaction. Like so, the EZ technique is an effective and simple revisional method that can be used to correct the protrusion of the zygomatic arch with also a relatively quick recovery period. Keywords: Zygoma, Reduction, Endoscopy, Greenstick