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

Paul828191Oct 4, 2021
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?

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From board-certified doctors and trusted medical professionals
Dr. Barry L. Eppley, MD, DMD
Board Certified Plastic Surgeon
Answered on Oct 6, 2021
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Barry L. Eppley, MD, DMD

You have very large cheekbones which are also asymmetric in shape. Cheekbone reduction surgery would help reduce their size and improve their symmetry. The exact plan to do so will need a preoperative 3D CT scan for a detailed assessment of your cheekbone anatomy.

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Edmund Kwan, MD

Hi! your picture shows a wide cheek bones. The bone called zygoma is flaring out producing a widened face. I recommend cheekbone reduction surgery. The cheek bones are cut at two places and the bone is reduced. I don't use any metal plates to fix the bone. I have done this procedure for over 20...

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Barry L. Eppley, MD, DMD

The reason this traditional approach to V line surgery is not commonly done in the US is because of the ethnic differences in the population. Traditional v line surgery, as practiced in the East, amputates off the jaw angle bone all the way up the chin. This an aggressive combined vertical and...

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