Concept of Reduction Malarplasty

Lee, Sang Woo

Abstract

Reduction malarplasty is one of the most frequently performed facial contouring surgeries in eastern Asia. Intraoral approach makes the most of the part, and coronal approach is used in revision cases or older patients who consider simultaneous lifting. In most reduction malarplasty cases malar highlight area is moved medially or posteriorly. The ostectomy should focus on medialization of the body, not reducing the volume. It is better to perform fixation on both body and arch of malar bone. Fixation of the body should at least be done with separate two bridges across the ostectomy line. Risk factors of sagging include low skin elasticity, abundant soft tissue, old age and deep nasolabial fold. The patients with these factors should be explained thoroughly about postoperative cheek drooping. Accurate planning of reposition and solid fixation should always be done.