Skip to main content
SpringerLink
Log in

Malar Bone Augmentation Using Malar Osteotomies

  • Chapter
  • First Online:
Integrated Procedures in Facial Cosmetic Surgery

Abstract

In Caucasians, malar prominence has been identified as the oval face appearance and as the symbol of elegance as well as youth. Malar augmentation is a cosmetic facial contouring procedure using either synthetics or biologicals to increase malar/cheek bone prominence and balance an otherwise less defined face. In this chapter, we will discuss various methods used to improve the malar area in patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Layoun W, Guyot L, Richard O, Gola R. Augmentation of cheek bone contour using malar osteotomy. Aesthet Plast Surg. 2003;27(4):269–74.

    Article  Google Scholar 

  2. Choi J-Y, Lee S-H, Baek S-H. Effects of facial hard tissue surgery on facial aesthetics: changes in facial content and frames. J Craniofac Surg. 2012;23(6):1683–6.

    Article  PubMed  Google Scholar 

  3. Jones RH, Ching M. Intraoral zygomatic osteotomy for correction of malar deficiency. J Oral Maxillofac Surg. 1995;53(4):483–5.

    Article  CAS  PubMed  Google Scholar 

  4. Powell NB, Riley RW. Cranial bone grafting in facial aesthetic and reconstructive contouring. Arch Otolaryngol Head Neck Surg. 1987;113(7):713–9.

    Article  CAS  PubMed  Google Scholar 

  5. Powell NB, Riley RW, Laub DR. A new approach to evaluation and surgery of the malar complex. Ann Plast Surg. 1988;20(3):206–14.

    Article  CAS  PubMed  Google Scholar 

  6. Donovan M. Augmentation of the malar prominence by sagittal osteotomy of the zygoma and interpositional bone grafting. Modern practice in orthognathic and reconstructive surgery. Vol. 3. 1992. p. 2298–304.

    Google Scholar 

  7. Walji S. The sandwich zygomatic osteotomy. J Cranio-Maxillofac Surg. 1996;24(2), 131. https://doi.org/10.1016/S1010-5182(96)80027-8

  8. Mommaerts MY, NadjmiI N, Abeloos JV, Neyt LF. Six year’s experience with the zygomatic “sandwich” osteotomy for correction of malar deficiency. J Oral Maxillofac Surg. 1999;57(1):8–13.

    Article  CAS  PubMed  Google Scholar 

  9. Mommaerts MY, Abeloos JV, De Clercq CA, Neyt LF. The ‘sandwich’ zygomatic osteotomy: technique, indications and clinical results. J Cranio-Maxillofac Surg. 1995;23(1):12–9.

    Article  CAS  Google Scholar 

  10. Onizuka T, Watanabe K, Takasu K, Keyama A. Reduction malar plasty. Aesthet Plast Surg. 1983;7(2):121–5.

    Article  CAS  Google Scholar 

  11. Baek S-M, Chung Y-D, Kim S-S. Reduction malarplasty. Plast Reconstr Surg. 1991;88(1):53–61.

    Article  CAS  PubMed  Google Scholar 

  12. Sumiya N, Kondo S, Ito Y, Ozumi K, Otani K, Wako M. Reduction malarplasty. Plast Reconstr Surg. 1997;100(2):461–7.

    Article  CAS  PubMed  Google Scholar 

  13. Baek R-M, Kim J, Lee SW. Revision reduction malarplasty with coronal approach. J Plast Reconstr Aesthet Surg. 2010;63(12):2018–24.

    Article  PubMed  Google Scholar 

  14. Kim Y-H, Seul J-H. Reduction malarplasty through an intraoral incision: a new method. Plast Reconstr Surg. 2000;106(7):1514–9.

    Article  CAS  PubMed  Google Scholar 

  15. Lee J-G, Park Y-W. Intraoral approach for reduction malarplasty: a simple method. Plast Reconstr Surg. 2003;111(1):453–60.

    Article  CAS  PubMed  Google Scholar 

  16. Zou C, Niu F, Liu J, Chen Y, Wang M, Su R, et al. Midface contour change after reduction malarplasty with a modified L-shaped osteotomy: a surgical outcomes study. Aesthet Plast Surg. 2014;38(1):177–83.

    Article  Google Scholar 

  17. Chen T, Hsu Y, Li J, Hu J, Khadka A, Wang Q, et al. Correction of zygoma and zygomatic arch protrusion in East Asian individuals. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2011;112(3):307–14.

    Article  Google Scholar 

  18. Tang K, Hsu Y, Hu J, Zhao Y, Wang Q, Li J. New horizontal v-shaped osteotomy for correction of protrusion of the zygoma and the zygomatic arch in East Asians: indication and results. Br J Oral Maxillofac Surg. 2014;52(7):636–40.

    Article  PubMed  Google Scholar 

  19. Nakanishi Y, Nagasao T, Shimizu Y, Miyamoto J, Kishi K, Fukuta K. The boomerang osteotomy—a new method of reduction malarplasty. J Plast Reconstr Aesthet Surg. 2012;65(5):e111–e20.

    Article  PubMed  Google Scholar 

  20. Hinderer UT. Malar implants for improvement of the facial appearance. Plast Reconstr Surg. 1975;56(2):157–65.

    Article  CAS  PubMed  Google Scholar 

  21. Wilkinson TS. Complications in aesthetic malar augmentation. Plast Reconstr Surg. 1983;71(5):643–9.

    Article  CAS  PubMed  Google Scholar 

  22. Prendergast M, Schoenrock LD. Malar augmentation: patient classification and placement. Arch Otolaryngol Head Neck Surg. 1989;115(8):964–9.

    Article  CAS  PubMed  Google Scholar 

  23. Motamedi MH. A Textbook of Advanced Oral and Maxillofacial Surgery: Volume 3 (M. H. Motamedi Ed. Vol. 3): IntechOpen. 2016. https://www.intechopen.com/books/a-textbook-of-advanced-oral-and-maxillofacial-surgery-volume-3/.

  24. Stuzin JM, Wagstrom L, Kawamoto HK, Baker TJ, Wolfe SA. The anatomy and clinical applications of the buccal fat pad. Plast Reconstr Surg. 1990;85(1):29–37.

    Article  CAS  PubMed  Google Scholar 

  25. Bettens RM, Mommaerts MY, Sykes JM. Aesthetic malar recontouring: the zygomatic sandwich osteotomy. Facial Plast Surg Clin. 2002;10(3):265–77.

    Article  Google Scholar 

  26. Li KK. Six year’s experience with the zygomatic “sandwich” osteotomy for correction of malar deficiency. J Oral Maxillofac Surg. 1999;57(1):14–5.

    Article  Google Scholar 

  27. Lorenz H, Schendel S. Facial bone sculpturing. Maxillofac Surg. 1999;2:1441–56.

    Google Scholar 

  28. Gasparini G, Saponaro G, Moro A, Boniello R, Cervelli D, Pelo S. Zygomatic sagittal split osteotomy: a novel and simple surgical technique for use in midface corrections. J Craniofac Surg. 2010;21(6):1872–5.

    Article  PubMed  Google Scholar 

  29. Marianetti TM, Cozzolino S, Torroni A, Gasparini G, Pelo S. The “beauty arch:” a new aesthetic analysis for malar augmentation planning. J Craniofac Surgery. 2015;26(3):625–30.

    Article  Google Scholar 

  30. Fattahi T, Salman S, Steinberg B. Augmentation of the infraorbital rim in orthognathic surgery. Int J Oral Maxillofac Surg. 2017;46(10):1315–8.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, College of Medicine, Jacksonville, FL, USA

    Seied Omid Keyhan

  2. Maxillofacial Surgery and Implantology and Biomaterial Research Foundation, Isfahan, Tehran, Iran

    Seied Omid Keyhan

  3. Georgia Oral and Facial Reconstructive Surgery, Atlanta, GA, USA

    Shahrokh C. Bagheri

  4. Maxillofacial Surgery and Implantology Research Foundation, Tehran, Iran

    Behzad Cheshmi

  5. Oral and Maxillofacial Surgery Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

    Hossein Heydar

Authors
  1. Seied Omid Keyhan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shahrokh C. Bagheri
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Behzad Cheshmi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hossein Heydar
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Co-investigator, Department of Oral and Maxillofacial Surgery, College of Medicine, Jacksonville, FL, USA

    Seied Omid Keyhan

  2. Department of Oral and Maxillofacial Surgery, University of Florida, Jacksonville, FL, USA

    Tirbod Fattahi

  3. Department of Surgery, Georgia Oral and Facial Reconstructive Surgery, Northside Hospital, Atlanta, GA, USA

    Shahrokh C. Bagheri

  4. Department of Oral and Maxillofacial Surgery, University of Toronto, Toronto, ON, Canada

    Behnam Bohluli

  5. Universal Network of Interdisciplinary Research in Oral and Maxillofacial Surgery (UNIROMS), Universal Scientific Education and Research Network (USERN), Tehran, Iran

    Mohammad Hosein Amirzade-Iranaq

1 Electronic Supplementary Material

The conventional malar osteotomy in which a buccal fat is used to fill the gap, rather than a graft (MP4 16775 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Keyhan, S.O., Bagheri, S.C., Cheshmi, B., Heydar, H. (2021). Malar Bone Augmentation Using Malar Osteotomies. In: Keyhan, S.O., Fattahi, T., Bagheri, S.C., Bohluli, B., Amirzade-Iranaq, M.H. (eds) Integrated Procedures in Facial Cosmetic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-46993-1_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-46993-1_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-46992-4

  • Online ISBN: 978-3-030-46993-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation