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

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.