Facial Surgery
Cheekbone (Zygoma) Reduction
Reducing prominent cheekbones and mid-face width by repositioning the bone, for softer and more balanced features.
Overview
Zygoma reduction reduces cheekbone prominence and mid-face width by repositioning the zygomatic body and arch inwards.
It is particularly common in East Asia and is often planned together with mandibular angle contouring as part of a comprehensive assessment of facial shape.
Who May Benefit
- Patients with marked cheekbone prominence
- Patients with mid-face width caused by bone
- Patients with cheekbone asymmetry
Conditions Treated
- Zygomatic prominence
- Wide mid-face
- Cheekbone asymmetry
Diagnosis
Cheek prominence is assessed from the front and oblique views, and bony prominence is distinguished from soft-tissue fullness. CT imaging defines bone shape, thickness and symmetry.
Treatment Planning
The required movement of the zygomatic body and arch is planned carefully so that reduction does not cause cheek sagging or a flat appearance that does not suit the face.
Virtual Planning
3D Planning
Osteotomy lines and bone movements are simulated on a 3D model to estimate the expected change in facial width and achieve symmetry between both sides.
Surgical Overview
Surgery is usually performed through an incision inside the mouth and a small incision in front of the ear hidden in a skin crease. The zygomatic body is cut and moved inwards, the arch is repositioned, and the bone is fixed with small plates and screws. It is performed under general anaesthesia.
Recovery
Swelling is marked in the first two weeks, with a compression garment and soft diet. Temporary stiffness on mouth opening may occur and improves gradually. Many patients return to work after about two weeks, and the final result becomes clear over months.
Risks & Considerations
All surgery carries risk. Potential risks are discussed in detail during consultation, and may include:
- Swelling and bruising
- Temporary numbness of the cheek and upper lip
- Cheek sagging
- Asymmetry
- Delayed or malpositioned bone healing
- Temporary limited mouth opening
Frequently Asked Questions
Can zygoma reduction be combined with jaw angle surgery?
Yes, they are often combined because facial width depends on both regions. The decision is made after assessment and 3D planning.
Will my face change a lot?
The aim is to reduce width in harmony with the rest of the face, not to change its identity. The expected change is discussed on the 3D model before surgery.
The information on this website is for general educational purposes and does not replace a consultation. Suitability for any procedure, and its potential benefits and risks, can only be determined following an individual clinical assessment. Individual results vary.
Related Procedures
- Mandibular Angle ContouringReshaping the lower jaw angle through the mouth to reduce lower-face width and create a smoother jawline.
- Facial ContouringSkeletal procedures to refine the contour of the jawline, angle and lower face.
- Virtual Surgical PlanningThree-dimensional analysis and simulation of jaw and facial surgery on a digital model of the patient’s anatomy.
Discuss your options with Dr. Bakri
A consultation is the first step toward an accurate diagnosis and an individual plan.