Extended reduction malarplasty for Asians with flat and wide face: Comparison with L-shaped osteotomy.

Background: Reduction malarplasty is effective in correcting prominent zygomatic body and arch in Asian populations, but periorbital zygomatic bony protrusion may not be sufficiently improved. In this study, we present the extended reduction malarplasty procedures to correct it simultaneously and compare the outcome with that of conventional L-shaped osteotomy.

Methods: A retrospective review of consecutive patients who received reduction malarplasty between August 2021 and September 2023 at our hospital was conducted.

The inverted Batman incision: a new incision in transcolumellar incision for open rhinoplasty.

Columellar and nostril shapes often present irregularity after transcolumellar incision for open rhinoplasty, because of the contracture of the incised wound. The present study introduces a new technique to prevent this complication, and verifies its efficacy in improving cosmetic appearance. In our new method, a zig-zag incision with three small triangular flaps is made on the columella and in the pericolumellar regions of the bilateral nostril rims.

The boomerang osteotomy -- a new method of reduction malarplasty.

Background: To achieve optimal outcomes in reduction malarplasty, it is important to preserve the natural curvature of the cheek while reducing the zygoma prominence and the width of the midface. The present article introduces an effective technique that aims to achieve these purposes.

Methods: Through an intraoral approach, boomerang-shaped bone incision lines are marked on the anterior aspect of the zygomatico-maxillary junction.

An anatomical study on the position of the summit of the zygoma: theoretical bases for reduction malarplasty.

Background: To achieve optimal outcomes in reduction malarplasty, the area of zygoma from which volume should be reduced must be accurately identified. This anatomical study aims to evaluate the location of the zygoma region that contributes most to the protrusion of the cheek.

Methods: The morphology of the zygoma was studied on 121 Japanese adults (73 men and 48 women).