Preventing sagging with anterior augmentation?

Question

In a face with recessed midface but prominent lateral projection of zygoma and arches, would anterior malar augmentation be enough to mitigate ptosis of the soft tissue after reduction malarplasty? I've seen some doctors present this as a solution but I can't find any articles that support this. Also would such augmentation need to be done concurrently with the osteotomy or is there a time period afterwards during which sagging can be prevented?

Jeffrey H. Spiegel, MD · Answer

Often lateral projection reduction is a mistake, but when indicated, anterior projection can be valuable. I do both frequently (When indicated) and find that osteotomy is usually not necessary as the bone can be reduced.
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Preventing sagging with anterior augmentation?

Answers (1)