Do I have wide cheekbones or do my zygoma bones just look wide because my temple area seems narrow? (photos)

Question

I’ve always felt uncomfortable with my midface because it seems my cheekbones are too wide and the temples too narrow. Is it a combination of wide cheekbones and/or narrow temple area? I also wanted to know why my cheeks are saggy and why they seem fat? Is there too much fat or just too much skin (or maybe both) and would you recommend a midface lift in combination with liposuction and buccal fat reduction? An Asian friend of mine recommended zygoma reduction. I also have nasolabial folds

Robert M. Tornambe, MD · Answer

I appreciate your concerns, however physical examination would be needed to provide a more detailed answer because of your beard and areas of concern. Generally speaking I would not recommend zygoma reduction in your case and other options do exist. Combination of mini facelift with fat transfer to your nasal labial folds with buccal fat pad repositioning may be an option. Consult with a board-certified plastic surgeon in our area to explore the best options for you. Good luck.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Tanveer Janjua, MD · Answer

Yes, the temple are hollow and the cheeks are saggy as well. There are a lot of options. Fillers are the easiest. You can also get cheek and temple implants. Midfacelift will not achieve it.
Regards
Dr. J

Charles H. Thorne, MD · Answer

I think your cheekbones are relatively wide but I think it looks good. If you had a zygomatic reduction, as is common among Korean women, the sagging of your cheek tissue will get worse. The more skeletal support your cheeks have, the less sagging you will have. If the disproportion bothers you, I would consider fat grafting to the temples. You are developing a mid cheek groove extending from inner corner of your eyes downward over your cheeks. This is also an area where fat grafting might help. I do not think that a midface lift will help you and it may leave evidence of surgery that you do not like.

Barry L. Eppley, MD, DMD · Answer

Your question is a good one for which the only way to answer that question is computer imaging looking at both types of changes. (temporal augmentation vs cheekbone reduction) I suspect that you have a more significant temporal hollowing issue than wide cheekbones....whose width is magnified by how hollow the temples/side of your head is. This can be treated by a variety of temporal implants to permanently increase their fullness.

Do I have wide cheekbones or do my zygoma bones just look wide because my temple area seems narrow? (photos)

Answers (5)

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