Zygomatic arch shaving (2mm) instead of L osteotomy? (photo)

Question

Hello! I am 19 years old and plan to have some procedures on my face. The right cheekbone ( on the pic) is wider than the left (due zygomatich arch). I honestly dont want to get unilateral cheekbone reduction (behause of sagging etc.) My surgeon wants to shave the zygomatic arch. He said its 4-5mm thick so he could shave 2mm. I think 2mm would be enough to archieve symmetry. What do you think about that?

Barry L. Eppley, MD, DMD · Answer

Zygomatic arch shaving is more a theoretical procedure than a real one for two distinct reasons. The key area for zygomatic arch reduction is age its its maximum convexity located halfway between the cheekbone and the ear, an area that is impossible to get to from an intraoral approach and coming from above through a coronal scalp incision seems excessive given the limited aesthetic problem. Secondly the maximum thickness of the true zygomatic arch is no more than 2 to 3mms at most. You would be wise to get a 3D CT scan where you can fully understand what part of the zygomatic arch needs to be reduced and what that exact thickness is where the reduction will occur. Then an informed decision can be made as to the most effective procedure.

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Zygomatic arch shaving (2mm) instead of L osteotomy? (photo)

Answers (1)

CHEEKBONE REDUCTION PROVIDERS NEAR YOU