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Cheekbone reduction of any significance is done by osteotomies and plates and screws which would be visible by any form of x-ray imaging. Cheekbone reduction by burring is less detectable as no hardware is implanted in the procedure.
Hi, reducing the cheek bones can be performed using a small bone rasp which would not be detectable on XRAY. If the bones were cut and re-positioned using screws and metal plates these could be seen on an XRAY however that seems like an extreme approach in my humble opinion.Hope this helps.