I'm 25 yrs old and have a trauma-related zygomatic arch asymmetry. Any treatment suggestions? (photos)

Question

Doctors, 4 years ago, I had a severe fall with undisplaced fracture of my right mandible. Doctors chose not to operate. Bones have consildated since then. I understand perfect symmetry is virtually impossible, but front-view facial asymmetry is now very noticeable. [Preferred side : Left] - IMO my zygomatic arch (at least) is involved, may a zygomatic osteotomy fix this? - Does asymmetry involve other parts - e.g. mandibular area? - Would an additional surgery needed on my right side? Thanks

Jason Emer, MD · Answer

Fillers are best to treat this, but to understand that anatomy thats left an X ray or CT scan would be helpful.  I suggest going to a filler expert and seeing their opinions.  Best, Dr. Emer.

Hugo St. Hilaire, MD, DDS, FACS · Answer

In the setting of a history of facial trauma, appropriate radiographic study (CT scan) is needed to properly evaluate the skeletal structure.  Once this is information is obtained, we can determine what type of surgical intervention may be beneficial.  The CT data may be used to perform pre-operative virtual surgical planning which allows precise bone cuts and repositioning.  This is quite an invasive intervention so you may select to undergo a "camouflage" procedure with the use of injectable or alloplastic implant- which can be custom made.  I would recommend you see a Board Certified Plastic Surgeon who specialize in Craniofacial Surgery.  Good luck.

Barry L. Eppley, MD, DMD · Answer

For a prominent zygomatic arch, an osteotomy would be needed. But for a depressed zygomatic arch, which is not uncommon after a traumatic inure/fracture, augmentation is needed. This can be accomplished by a variety of injectable fillers or an actual zygomatic arch implant which offers permanent volume enhancement.

Stephen M. Davis, MD, FACS · Answer

I see what you are talking about, the best view is looking over your head and down putting the arches in relief.There are many things that can be done ranging from implants to injections. I would find a Board Certified Plastic Surgeon to assess the depression in three-dimensions and let him / her give you a good understand of what the problem is then offer you options as to how to improve it.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

I'm 25 yrs old and have a trauma-related zygomatic arch asymmetry. Any treatment suggestions? (photos)

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Answer: Trauma-related zygomatic arch asymmetry.

Answer: Trauma-related zygomatic arch asymmetry.

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I'm 25 yrs old and have a trauma-related zygomatic arch asymmetry. Any treatment suggestions? (photos)

Answers (4)

Answer: Trauma-related zygomatic arch asymmetry.

Answer: Trauma-related zygomatic arch asymmetry.

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Recommended reading

Everything you need to know about Cheek Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.