Zygomaplasty (Cheekbone Surgery)

 

670. Zygomaplasty (Cheekbone Surgery)

Zygomaplasty is a midface contouring procedure that adjusts the cheekbones to refine facial balance. It includes surgical options like zygomatic reduction, augmentation, and reconstruction, as well as non-surgical treatments like fillers, fat grafting, buccal fat removal, and cheek lifting.

Several anatomical considerations are crucial:

1. Infraorbital nerve – Though rarely cut, pressure from swelling or fat repositioning can cause numbness in the upper lip or nasal wing.

2. Sinus complications – In patients with sinusitis, cutting near the maxillary sinus can risk infection, especially with implants.

3. Facial nerve – During zygomatic arch osteotomy, incisions near the temple risk injury to the frontal branch, which can cause eyebrow droop.

4. Orbital concerns – In cases of old fractures or enophthalmos (sunken eye), implanting material to correct the defect may cause double vision or impaired eye movement if soft tissue is caught between the implant and orbital wall.

In some cases, patients undergo “quick zygoma” surgery only to later feel their cheekbones appear larger. Revisional surgery may require repositioning the bone and redoing the reduction properly, often making the second surgery more complex than the first.

As we age, fat compartments in the midface shrink and spread apart, deepening lines like under-eye wrinkles, tear troughs, and nasolabial folds. Therefore, cheekbone surgery is often combined with procedures like lower eyelid fat repositioning, cheek lifting, and nasolabial fold correction to restore both contour and volume.

✨ Zygomaplasty is not just bone work — it's midface rejuvenation from structure to softness.

— 670mm Seongjang Sonamu —