Prevention of Cheek Drooping in Intraoral Reduction Malarplasty without Internal Fixation.

Park, Dong Kwon; Choi, Jae Hoon; Lee, Jin Hyo; You, Young June

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Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(6):845-850.
Published online November 1, 2011.

Prevention of Cheek Drooping in Intraoral Reduction Malarplasty without Internal Fixation.

Dong Kwon Park, Jae Hoon Choi, Jin Hyo Lee, Young June You

¹Department of Plastic and Reconstructive Surgery, Seoul Paik Hospital, Inje University Medical Center, Seoul, Korea. psdoctor@hotmail.co.kr
²Bone Plastic Surgery Clinics, Seoul, Korea.

Abstract

PURPOSE
In general, orientals including Korean, have a mesocephalic face whereas Caucasians, among the western, have a dolichocephalic face .Unlike the western, in orientals including Korean, prominent malar bones are recognized as stubborn and unattractive appearance. That is why reduction malarplasty is one of the most popular aesthetic surgical procedure in Korea. Many surgical methods to reposition prominent malar bones have been performed by means of a coronal incision or a combined incisions, using both the intraoral and the external incision. Bicoronal approach has advantage such as wide operative field, easy to maintain symmetry and possibility of combining facial lift but has shortcoming, such as external scars, long operative time, and the possibility of facial nerve or artery injury. Intraoral approach has advantages of short operative time, simplicity of procedure and no external scar. But this approach is associated with problems of cheek drooping, limited exposure and difficulty in making symmetry. METHODS: During 8 years, we performed a reduction malarplasty without internal fixation through an minimal intraoral incision and dissection in 39 patients.
RESULTS
The patients were followed for 46 months, with satisfactory results and no cheek drooping. There was no patient who want to revise the inappropriate operative result such as asymmetry and incomplete correction.
CONCLUSION
We conclude that minimal intraoral incision and dissection could acquire satisfactory result of reduction malarplasty along with prevention of cheek drooping.

Keywords: Reduction malarplasty; Cheek drooping; Intraoral minimal incision

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