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Titanium is a relatively inert, or "inactive," metal, which is why it is the chosen material - along with its strength and ability to not set off metal detectors - for bony reconstruction. No one can say that there are no long-term effects whatsoever, and the use of plates and screws occur in settings where other elements are at play, but in general the presence of titanium plates and screws has not been associated with serious long-term effects. If they were known to do this, we would remove them, which is not common routine practice.
There are actually a number of ways to achieve a slimmer facial profile. And, like all things plastic surgery, the right one is the right one for the goals you're trying to achieve. Things that can be considered are buccal fat pad excision for slimmer cheeks and the lower third of the face, bony...
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...
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.