Can Broken Zygoma Bone Be Fixed?

A broken or misplaced zygoma can be corrected with osteotomy and repositioning. Sometimes, fillers can mask the deficit to achieve symmetry. Best, Dr. Karamanoukian

A broken facial bone that has "healed" into a poor position can be difficult to fix.  Options are as follows:


Use of facial fillers to balance facial asymmetry

Use of alloplastic implants to balance facial asymmetry

Formal osteotomies are re-plating of fracture 

When the zygoma breaks, it alters a few critical facial structures that effect cheek projection, eyeball position and facial width. Fixing an old zygoma fracture (or one that was repaired incorrectly the first time around) can be difficult. You've got two options- if your eyeball position is okay, then your cheek projection and facial width can be restored with bone grafts or an alloplastic implant. The other option is to osteotomize the zygoma and rotate it back into position and fixate it with plates and screws.

We see many patients with old facial injuries. I have recently corrected several old deformities that have failed correction with injections, and facial implants. I use a technique that involves your own rib cartilage and other tissues in your body. 

This can be an extremely difficult and challenging problem and nearly impossible to correct completely. You should seek evaluation by a craniofacial surgeon to discuss your options for management