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Application of the Bracing System in Reduction Malarplasty in Asian Population

  • Original Article
  • Maxillofacial/Craniofacial
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

In the East, a broad and prominent malar is considered to express an aggressive and unpleasing impression; therefore, patients seek to improve their appearance through malar reduction. Although most of the techniques have been greatly improved, still there are some pitfalls in the form of cheek sagging or bone nonunion. In this study, we performed a reduction malarplasty using a firm bracing system to minimize major postoperative complications.

Method

This was a retrospective study evaluating the results of a total of 157 patients (139 women and 18 men) who underwent reduction malarplasty using a bracing system via intraoral and periauricular. The age of the patients ranged from 17 to 44 with a mean age of 25.3 years. The mean follow-up period was 9.4 months. All patients underwent routine physical and laboratory examinations. Facial photographs in the frontal, oblique, and submentovertical views were taken. Patients with severe facial asymmetry and facial deformities were excluded from the study. Preoperative states and patients’ desires were considered. In some patients, combined malarplasty with mandibular angle reduction or genioplasty was performed.

Results

A total of 157 patients who underwent this modified reduction malarplasty between January 2015 and January 2019 were retrospectively reviewed. Decent postoperative facial stability and satisfactory aesthetic results were realized among all patients. Major complications such as severe asymmetry or bone nonunion were not observed in our patients.

Conclusion

Based on a thorough anatomic understanding of zygoma and masseter action, we modified previous L-shaped reduction malarplasty through constructing a firm bracing system on the malar complex. Satisfactory surgical outcomes were obtained. Our method is an ideal surgical method to effectively reduce the height and width of the zygomatic arch and prevent complications such as bone nonunion and cheek drooping.

Level of Evidence IV

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Funding

The study was supported by the Chinese Academy of Medical Sciences and Peking Union Medical College foundation.

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Authors and Affiliations

  1. Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Badachu Road, Shijingshan District, No. 33, Beijing, 100144, China

    Guoxuan Dong, Li Teng, Jianjian Lu & Yuanliang Huang

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  1. Guoxuan Dong
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  2. Li Teng
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  3. Jianjian Lu
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  4. Yuanliang Huang
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Corresponding authors

Correspondence to Li Teng or Jianjian Lu.

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The authors have no conflict of interest to disclose.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Dong, G., Teng, L., Lu, J. et al. Application of the Bracing System in Reduction Malarplasty in Asian Population. Aesth Plast Surg 44, 114–121 (2020). https://doi.org/10.1007/s00266-019-01532-0

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  • DOI: https://doi.org/10.1007/s00266-019-01532-0

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