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Many patients have bony structures that may need to reduce the size or width of their cheeks to look oval or heart-shaped. By deforming the cheekbones and removing excess fat. therefore nowadays, everyone wants to have a younger and more beautiful face. Most of us look at the faces of the movie stars. Fortunately, it is possible to achieve this sexy young face. You can change your face with cheek bone reduction surgery.

Cheekbone reduction surgery in Iran: the fact you need to know

Having protruding cheeks gives you strong and violent effects, especially as they appear with age. Cheek bone surgery, also known as zygoma reduction surgery, is a cosmetic surgery that reduces the size of the cheekbones to turn your face into an oval shape that makes you look younger .

The best candidates for cheek bone surgery

The ideal candidate for cheek reduction typically has a narrow face and broad cheek areas. However, this surgery is not suited for everyone. Patients who can benefit from it include :

As for the expected results, the procedure can remove or correct bone protrusions making the facial line look sleeker, slimmer, and softer. By reducing the size of the face in general, the procedure can also make a person’s facial features look more well-defined. For most patients, the results of the procedure make them look more attractive.

How is the Procedure Performed?

A zygoma reduction is performed under general anaesthesia and takes about three hours. It requires patients to fast for at least 8 hours prior to the procedure. As part of the pre-surgery preparation, an x-ray examination is carried out to accurately determine the shape of the maxilla and mandibular bones as well as the locations of the nerves in the area. Two incisions, one inside the mouth and the other inside the temporal area, are then made to access the cheekbone. The frontal and rear parts of the bone are then fractured to weakened the bone so it can be easily pushed inwards from the front and the side, and reduce its outward protrusion. If necessary, the surgeon may also cut off a portion of the zygoma bone’s body to make it L-shaped. The remaining zygoma bone is then rotated in a 3-dimensional manner. The procedure can also be performed on the zygoma arch or the bow-shaped lateral aspect of the cheekbone. A protruding zygoma arch can make the face seem wider than it actually is. To reduce the arch, the surgery can be performed using the scalp approach, where the incision is made either above or in front of the ear. This gives the surgeon access to the arch and the body of the cheekbone making it easier to rotate the bone inwards. In some cases wherein both the zygoma body and the arch need to be adjusted, the surgery will combine both techniques. The zygoma bone is then fixated with screws once placed in the desired position to prevent bone movements. Drains are placed to avoid fluid build-up in the surgical area and are removed the next day. The incisions are then closed with sutures. After the procedure, patients are required to stay in the hospital overnight for monitoring purposes. Any stitches made during the procedure will be removed after approximately two weeks or when the surgical site has adequately healed. During the first three days following the procedure, patients are required to wear a compression bandage over the surgical area at all times. For the next 1 to 2 weeks, they are only required to put it on when at home .

Cheekbone reduction surgery recovery

Recovery time is usually fairly short and straightforward when the doctor’s guidelines are adhered to. Here are some of the general guidelines for recovering after cheek surgery.Zygoma Reduction Plasty(Cheekbone Reduction Surgery): Patients are advised to plan for a recovery period of at least five to seven days after the procedure. Your doctor will prescribe you with medication to minimize swelling, bruising, and numbness that may occur after surgery. These conditions will disappear within one to two weeks, after which you should feel ready to resume your normal activities and return to work. Your results will be more noticeable after the swelling subsides after three months.Dimpleplasty: Most patients can return to work the day following the procedure, although there will be some temporary redness and mild swelling for a few days after surgery. It is advised to avoid strenuous activity for at least one to two weeks following the procedure and to keep from injuring the treated areas with certain foods or when brushing your teeth. Though results are immediate, some time will need to pass for the cheek muscle tissues to relax and for swelling to die down, and for the sutures to disintegrate. After this happens, the final results are typically visible after two months .
To promote a faster healing process, you should:

How Long Does it Take to Recovery from Cheek Surgery?

For zygoma reduction plasty patients can expect to be fully recovered in as little as two weeks, though it can take up to three months for a full recovery to take place. Recovery times will vary from patient to patient and will depend on a variety of factors including the general health background of the patient, and the complexity of the procedure itself.Dimpleplasty, on the other hand, is considered a very safe and simple procedure, and recovery time is estimated at no more than a week from the date of the surgery. This estimated recovery time can vary, however, and some patients have reported recovery times of up to eight weeks .

Possible Risks and Complications

Zygoma reduction, like other facial reduction procedures, does involve certain risks, including common surgical risks as well as risks unique to the procedure.
Common surgical risks include
:
Infection
Bleeding
Blood clot
Bruising
Swelling
Injury to the surrounding muscles, bones, nerves, or blood vessels
Allergic reactions to the anaesthetics used

Risks unique to a zygoma reduction (or closely similar) procedure include:
Changes or decrease in skin sensation over the surgical area, which may or may not be temporary
Asymmetry between the two cheekbones
Body contour irregularity
Tightness in opening the mouth
Bone disunion of the zygomatic arch
Weakening of the zygomatic bone
Zygomatic bone and arch defect or displacement after surgery

These risks may or may not require revision surgery. On top of these risks, patients can also expect to experience post-operative pain around the cheeks. To help with the pain as well as to prevent an infection, oral antibiotics and analgesics are typically prescribed. Patients are given strict instructions on post-operative care, including required head elevation when sleeping during the first four weeks following the procedure. Since the incision is intraoral, patients are also taught on how to wash and clean their mouths to prevent an infection from developing
.

WHAT IS Cheekbone reduction with Botox?

Apart from reducing wrinkles and fine lines, Botox can be used for slimming the face. This can be done without surgery by injecting Botox into the massager muscles behind the jaw. These muscles can affect the shape of the face because they make it appear more square. If you only need a slight reduction of the cheekbone, non-surgical reduction of the cheekbone with Botox is helpful. In cases that require more tangible results, cheek bone shrinkage surgery is required.

What is quick cheekbone reduction?

Like the traditional method, rapid cheek bone shrinkage surgery helps you have a younger face with sharper features and reduced width. However, the surgery is shorter and slightly less invasive.
Rapid shrinkage of the cheekbones does not require any incisions in the mouth. The surgeon makes only a small incision in the cheek (about 3 cm) and uses titanium plates or absorbent plates to secure the cheekbones. Rapid reduction of zygoma does not require general anesthesia. Performed under sedation. This surgery only takes 30 to 60 minutes, which is much less than the time required for traditional cheek bone reduction. After surgery, you may leave the hospital the same day and go home. Recovery time is shorter for rapid cheek bone surgery. After 2 to 3 days you can return to your daily activities.

After Treatment Care

It is crucial to follow the advice of your facial plastic surgeon after the operation. This will help to reduce the risk of side effects and minimize scars.
Zygoma Reduction Plasty (Cheekbone Reduction Surgery) It is advisable to wear a facial garment for at least seven days after the operation to support and protect surgical incisions. The garment can be worn at night time if you are not able to wear it during the day, and will help you to keep from putting pressure on the surgical sites for a month after surgery.It is recommended to eat a soft or liquid diet after surgery since patients will experience numbness of the lips and heavy chewing may be difficult. Keep the mouth clean by using a saline solution after all meals for the first three days after surgery. Mouthwash diluted with water can be used or gently brushing of the teeth can be done on the fourth day after surgery. It is imperative to clean the surgical wound regularly. Stitches will be removed by your surgeon within five to seven days after surgery.It is normal to experience facial swelling and bruising after surgery. This will improve gradually, and within three months you can expect the appearance to return to normal. For one or two days after the procedure, a cold compress is recommended to reduce swelling and bruising on surgical sites. Sleep with the head raised on pillows for two to three days after the procedure to prevent any swelling that might occur. Avoid strenuous exercise for two weeks after surgery.
Dimpleplasty: On the first day after the procedure it is recommended to stay on a liquid diet using a straw. After one day patients can start a semi-solid or soft diet. After three to four days, patients are usually able to resume their normal diet and can safely eat all kinds of foods.Chlorhexidine antiseptic mouthwash is prescribed for the first two to three days after the procedure. Extreme care is needed when brushing teeth for the first ten days, to prevent harming the sutures or disrupting the dimpled areas. Using a baby toothbrush can help and will prevent irritating sutures, and patients can resume a normal dental hygiene routine after ten days.There will likely be some swelling around the dimple, which will gradually subside. The dimple will be visible at all times until the sutures get absorbed, and will then continue to fade until the dimple is present only when smiling, creating a more natural look
.

Frequently Asked Questions About Cheekbone Reduction Surgery

Is cheekbone reduction dangerous?

It's a completely safe outpatient surgery and most plastic surgeons have a lot of experience, having performed hundreds of cheekbone reduction surgeries.

Can we reduce cheekbone?

Prominent part of the cheekbone is reduced either by shaving or cutting the prominent bony segment (zygoma). The surgically fractured cheekbone is then carefully moved inward, backward and downward. Once the fractured cheekbone is repositioned, it is secured by small plates and screws.

Is cheekbone reduction surgery painful?

Cheek reduction is performed using conscious sedation or general anesthesia. There will be no pain during your surgery. Some soreness and discomfort are to be expected following your procedure, but oral medications can be taken to remedy this.

How long is zygoma reduction?

The average surgical duration for a conventional zygoma reduction surgery in the authors' institute was measured to be 69 minutes during the same study period.

Is cheekbone surgery permanent?

Cheek implants offer a permanent solution to improve facial contours and volume in younger patients who desires more prominent cheekbones or chins. Higher, fuller cheeks can improve your appearance, balance your facial features, and even help you look more youthful.

What happens in cheekbone surgery?

A cheek osteotomy procedure involves adjustment of the frontal cheekbone and the lateral part of the cheekbone. These are fixed in place with screws and plates and incisions are sealed with dissolvable sutures. Dimpleplasty: A natural dimple forms when there is a small defect in the cheek muscle.

Is high cheekbones attractive?

Some standards of beauty are more understandable than others. Symmetrical faces, for instance, are valued across many cultures; but other features are considered "standard attractive," and it's not at all clear why. High cheekbones are one of those traits that seems to be pretty universally valued.

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