CONSIDERATION OF OPERATIVE PROCEDURES FOR ZYGOMATIC REDUCTION IN ORIENTALS - BASED ON A CONSECUTIVE SERIES OF 28 CLINICAL CASES

Operative procedures for reduction malar bone plasty were considered i n our consecutive series of 28 Japanese cases. The patients consisted of 7 males and 21 females whose ages ranged from 21 to 57 years. The o perative procedures used were either shaving the protruded zygomatic b ody and arch with chisels by means of an intraoral approach and/or an extraoral sideburn-lateral canthal approach or, alternatively, mobiliz ing the protruded zygoma en bloc medioposteriorly into reduction of th e prominent zygoma by a coronal approach. In principle, the noncoronal approach was indicated for males and young females, and the coronal a pproach, conducted in association with forehead lifting with or withou t canthopexy, was indicated for females over age 40. These procedures have individual merits and demerits. In some cases, associated surgery was performed concomitantly according to the facial balance or facial rejuvenization. We believe that the optimal operative approach and op erative procedure should be considered in accordance with the patient' s sex, age, wishes, and/or cultural background.