What can be done about bony protrusion at the sides of my face? (photos)

Question

The sides of my face pop out like this. Which bone is it and what can be done to correct it? Also, weirdly enough, sometimes it looks normal. What’s causing this ?

Jeffrey H. Spiegel, MD · Answer

This is the zygomatic arch.  It is a normal part of the facial anatomy.  We periodically see people who want this reduced and it can be done readily through the inside of the mouth typically.  The procedure takes about an hour and recovery is quick although there is some swelling afterwards.  All incisions and stitches are inside the mouth.

Anna Chacon, MD, FAAD · Answer

The bony protrusion you're noticing on the sides of your face could be related to the zygomatic bone (cheekbone), or possibly the temporal bone. It may be more noticeable at certain times due to changes in posture, swelling, or even muscle tension, which can cause temporary shifts in how the bone appears.

If it is something structural, it might be due to natural bone development, genetics, or a condition like facial asymmetry. The fact that it sometimes looks normal suggests that it could be related to temporary factors, such as fluid retention or muscle dynamics.

To address this, a thorough examination is needed. Depending on the cause, treatments may range from dermal fillers to enhance contour or procedures aimed at reshaping the bone, if it's structural. In some cases, seeing an oral or maxillofacial surgeon may also be recommended.

A full evaluation will help identify the cause and guide us in determining the best approach for your specific situation.

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