Why Many Patients Seek Revision Surgery After Zygoma Reduction by Common Method?

The following content is based on my clinical experience and 3D analysis. Many patients visit me for revision surgery after undergoing Zygoma Reduction by Common Method(Complete Resection & Dual Fixation) at other clinics, expressing deep dissatisfaction.

 

 

The Core Complaint: “My face looks flatter and wider.”

Despite having the bone removed, these patients often feel their face has lost its dimension and appears “spread out” (flat and wide) rather than slim and contoured. Here is why this happens:

For convenience, I will refer to my malar reduction technique as ‘Method A’ and the conventional zygoma reduction surgery as ‘Method B”

‘Infracture Technique” is Method A, “Complete Ostectomy” & 2 Point Fix” is Method B

 

1. Loss of 3D Volume and “Flatness”

Method B involves the complete resection (removal) of a portion of the anterior zygoma.

• The Problem: When the prominent part of the front cheekbone is removed excessively, the face loses its natural “high point.”
• The Result: Instead of a youthful, contoured look, the midface becomes unnaturally flat. This loss of projection often leads to a tired, aged appearance and can contribute to soft tissue sagging.

 

2. The “Wider Face” Paradox (Failure to Reduce Frontal Width)

Patients desire a reduction in the actual width of the face. However, if Method B focuses only on flattening the front:

• The Problem: The “side zygoma” (the posterior part of the arch) often remains unaddressed or insufficiently moved inward.
• The Result: The center of the face is flat, but the overall width remains the same. This contrast makes the face appear wider and more “broad” than before the surgery.

 

3. The Pyramid-Shaped Deformity

When the front is narrowed but the back remains wide, the face takes on a “Pyramid Shape”—where the facial contour gradually widens from front to back. This is particularly noticeable when looking at the face from a downward angle or in 3/4 profiles, destroying the balance of a smooth, oval face.

A Message to Those Considering Revision Surgery

“Successful zygoma reduction is not about how much bone you ‘cut away’; it is about repositioning the bone to create a slimmer, more three-dimensional frame.

If you have lost your facial dimension and feel your face looks wider after Method B, the solution lies in restoring the arch’s natural curve and correctly relocating the bone’s position (as seen in Method A: Infracture Technique) to regain a slim, vibrant, and youthful contour.”

 

Please refer to the Content about ” Infracture Technique” in this Blog!!!

 

 

Expert Plastic Surgeon in Seoul, Korea Specializing in Aesthetic Facial Bone Contouring & Facial Rejuvenation Surgery. Dedicated to achieving natural beauty by harmonizing the structural foundation of the face with advanced rejuvenation techniques.

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Lavian Aesthetic Plastic Surgery

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