1VIC

Zygoma and zygomatic arch reshaping surgery

Treatment Effect

Treatment Results

- Short-term effects: Immediate changes in facial contours are visible right after the procedure, but significant swelling and bruising will be present, preventing the full results from being apparent. Generally, the swelling gradually subsides within 1 to 2 weeks post-surgery, allowing the facial contours to begin taking shape.

- Long-term effects: As the swelling completely resolves (typically taking 3 to 6 months), the final surgical outcome gradually stabilizes. The shape of the cheekbones and zygomatic arches is improved, resulting in a more harmonious and aesthetically pleasing overall appearance. Enhanced facial definition creates a soft and refined look.

Is this suitable for me?

Individuals suitable for zygomatic and zygomatic arch reduction surgery typically exhibit the following characteristics:

- Excessively high or wide zygomatic bones, resulting in harsh facial contours, a lack of softness, and diminished facial aesthetics.

- Protruding zygomatic arches, causing an uneven lateral facial profile with noticeable abruptness.

- Facial asymmetry caused by issues with the zygomatic bones and arches, affecting overall facial harmony.

- High aesthetic expectations for facial contours, coupled with psychological stability and a rational approach to surgical outcomes.

However, the following individuals are not suitable for this surgery:

- Those suffering from severe systemic diseases such as heart disease, hypertension, or diabetes, making them unable to tolerate surgery.

- Individuals with facial infections or inflammation.

- Those with mental illnesses or psychological disorders who hold unrealistic expectations regarding surgical results.

- Women who are menstruating, pregnant, or breastfeeding.

Select Device

Equipment Selection

- Advanced osteotomy equipment: Such as pneumatic oscillating saws and ultrasonic bone scalpels. Pneumatic oscillating saws offer fast cutting speeds and can precisely cut bone tissue, but they may generate certain vibrations and noise. Ultrasonic bone scalpels, on the other hand, provide precise cutting with minimal damage to surrounding tissues and reduced bleeding, better protecting nerves and blood vessels, thereby enhancing surgical safety and outcomes.

- High-precision measurement equipment: Such as 3D CT reconstruction systems, which can clearly display the morphology and structure of the zygomatic bone and zygomatic arch, as well as their relationship with surrounding tissues, assisting doctors in performing precise preoperative design and surgical planning.

Select Brand

Equipment Selection

- Advanced osteotomy equipment: Examples include pneumatic oscillating saws and ultrasonic bone scalpels. Pneumatic oscillating saws offer fast cutting speeds and can precisely cut bone tissue, but they may generate some vibration and noise. In contrast, ultrasonic bone scalpels provide precise cutting with minimal damage to surrounding tissues and reduced bleeding, better protecting nerves and blood vessels, thereby enhancing surgical safety and outcomes.

- High-precision measurement equipment: Such as 3D CT reconstruction systems, which clearly display the morphology and structure of the zygomatic bone and zygomatic arch, as well as their relationship with surrounding tissues, assisting surgeons in precise preoperative design and surgical planning.

Price

Price

The cost of zygomatic and zygomatic arch contouring surgery varies depending on multiple factors, generally ranging from 30,000 to 100,000 RMB. The main factors influencing the price include:

- Surgical method: Different surgical techniques, such as zygomatic reduction and zygomatic arch inward pushing, vary in operational difficulty and complexity, leading to differences in cost.

- Hospital and surgeon: Procedures performed at large, reputable hospitals by renowned experts tend to be more expensive due to their access to advanced equipment, extensive experience, and higher technical proficiency.

- Regional differences: Surgical costs in first-tier cities and economically developed regions are typically higher than those in second- and third-tier cities.

Expected Outcome

Expected Outcomes

Patients should maintain a rational attitude, as surgical outcomes are influenced by various factors, such as individual bone structure, the choice of surgical technique, and the surgeon's skill level.

Although surgery can significantly improve the shape of the zygomatic bones and arches, it cannot completely alter the overall facial features, nor does it guarantee the ideal perfection that patients may envision.

Slight asymmetry or imperfections may occur after surgery, but these are generally acceptable within normal limits. Patients should communicate thoroughly with their doctors to understand the limitations of the procedure and potential outcomes, thereby adjusting their expectations realistically.

Combination Therapy

Combined Treatments

Combined with mandibular angle reduction: If a patient not only has zygomatic and zygomatic arch issues but also a wide mandibular angle, zygoma reduction can be performed in conjunction with mandibular angle reduction. This approach achieves more comprehensive and ideal facial contouring results, making the overall facial lines smoother and softer.

Combined with facial fat grafting: For patients who may experience facial hollowing after zygoma reduction, facial fat grafting can be combined to fill areas such as the temples and cheeks. This makes the face appear fuller and rounder, enhancing its three-dimensional structure and aesthetic appeal.

Adverse Effects and Complications

Side Effects and Complications

- Bleeding and Hematoma: Bleeding may occur during the surgery. If hemostasis is not thorough, a hematoma may form postoperatively. Smaller hematomas can be absorbed spontaneously, while larger ones may require surgical evacuation.

- Infection: Bacterial infection at the surgical incision site may cause local redness, swelling, pain, and fever. Severe infections can compromise surgical outcomes and wound healing, necessitating timely antibiotic treatment.

- Nerve Injury: Sensory or motor nerves in the face may be damaged during surgery, leading to facial skin numbness, reduced sensation, or impaired facial muscle movement. Most nerve injuries are temporary and gradually recover after surgery, but in rare cases, permanent damage may occur.

- Asymmetry: Due to surgical errors or differences in the patient's own bone development, asymmetry of the zygomatic bones and zygomatic arches may occur postoperatively. Severe asymmetry may require revision surgery for correction.

- Nonunion or Poor Bone Healing: If the osteotomy site is not properly fixed or if the patient has poor healing capacity, nonunion or poor bone healing may occur, affecting surgical outcomes and facial stability.

- Swelling and Bruising: Significant facial swelling and bruising are normal responses to surgical trauma. These generally subside gradually within 1โ€“2 weeks, but complete resolution of swelling may take 3โ€“6 months.

- Skin Laxity: Skin traction and tissue removal during surgery may lead to some degree of postoperative skin laxity, particularly in older patients or those with poor skin elasticity. This can be improved through postoperative skincare and rehabilitative therapies.

Select Instrument

Selecting Instruments

Similar to the equipment selection process, advanced osteotomy instruments such as pneumatic oscillating saws and ultrasonic bone scalpels, along with high-precision measurement devices like 3D CT reconstruction systems, play a crucial role during surgery. When selecting instruments, focus on their performance, accuracy, and safety to ensure smooth surgical procedures and optimal outcomes.

Project Contraindications

Contraindications

Systemic diseases: Conditions such as severe heart disease, hypertension, diabetes, and impaired liver or kidney function can increase surgical risks and hinder postoperative recovery.

Facial infections or inflammation: If there are active infections on the face, such as boils, acne, or oral ulcers, surgery may cause the infection to spread. Surgery should only be considered after the infection has fully healed.

Mental illnesses or psychological disorders: Patients with mental health conditions such as schizophrenia or depression, or those who have unrealistic expectations about surgical outcomes, may not be able to cope with the results appropriately and are therefore not suitable candidates for surgery.

Special periods: Women should avoid undergoing surgery during menstruation, pregnancy, or breastfeeding, as physiological changes during these times may adversely affect both the mother and the fetus or infant.

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Project Contraindications

Systemic diseases: Such as severe heart disease, hypertension, diabetes, and impaired liver or kidney function. These conditions can increase surgical risks and affect postoperative recovery.

Facial infection or inflammation: If there are infectious conditions on the face such as boils, acne, or oral ulcers, surgery may lead to the spread of infection. Surgery should be considered only after the infection has healed.

Mental illness or psychological disorders: Patients with mental illnesses such as schizophrenia or depression, or those who have unrealistic expectations about surgical outcomes, may not be able to cope with the results properly and are not suitable candidates for surgery.

Special periods: Women during menstruation, pregnancy, or breastfeeding experience physiological changes. Surgery may have adverse effects on both the mother and the fetus or infant, so these periods should be avoided.

Side effects

Side Effects

In addition to the aforementioned side effects such as bleeding, infection, nerve damage, asymmetry, nonunion, or poor bone healing, the following conditions may also occur:

- Swelling and bruising: Noticeable facial swelling and bruising will appear after surgery. This is a normal response to surgical trauma and generally subsides gradually within 1โ€“2 weeks, although it may take 3โ€“6 months for the swelling to completely disappear.

- Skin laxity: The pulling of the skin and removal of tissue during the procedure may lead to a certain degree of postoperative skin laxity, particularly in older patients or those with poor skin elasticity. This can be improved through postoperative skincare and rehabilitative treatments.

Self-Symptom Check

Symptom Self-Assessment

Observe facial appearance: If you notice that your cheekbones are excessively high or wide, with prominent anterior projection of the zygomatic arches, rigid facial contours lacking softness, or significant left-right asymmetry, you may be a suitable candidate for zygoma and zygomatic arch reduction surgery.

Assess facial function: If there are no abnormal sensations such as significant pain, numbness, or movement disorders, and functions related to the mouth and eyes are normal, it indicates that the overall condition of the face is relatively good. However, further detailed examination at a hospital is still necessary.

Consider psychological state: Evaluate your satisfaction with your facial contour and your psychological resilience. If issues with the zygoma and zygomatic arch have caused long-term psychological distress, and you can rationally address the risks and expected outcomes of the surgery, you may consider consulting a professional physician.

Select treatment plan

Selecting a Treatment Plan

- Preoperative Assessment: The doctor will comprehensively evaluate the morphology and structure of the patient's zygomatic bone and zygomatic arch, as well as the overall facial condition, through detailed consultations, physical examinations, and imaging tests (such as CT scans). This process helps determine the patient's suitability for surgery and identify any contraindications.

- Personalized Design: Based on the patient's individual needs and facial characteristics, the doctor will develop a personalized treatment plan. This includes selecting the appropriate surgical method (such as zygomatic reduction or zygomatic arch inward pushing) and determining the location and extent of the osteotomy.

- Communication and Consultation: Patients should communicate thoroughly with their doctor to understand the advantages and disadvantages of different treatment options, surgical risks, and expected outcomes. By considering their financial situation and psychological readiness, patients can choose the treatment plan that best suits them.