Arch Aesthetic Plast Surg.  2020 Oct;26(4):138-143. 10.14730/aaps.2020.02215.

Reduction malarplasty combined with facelift via the prezygomatic space

  • 1Doctorsmi Aesthetic Plastic Surgical Clinic, Daejeon, Korea
  • 2Department of Plastic and Reconstructive Surgery, Eulji University Hospital, Daejeon, Korea


In Asian women who undergo facelift surgery, satisfactory results are typically achieved with regard to facial rhytides, but concerns have been reported regarding the postoperative appearance of the malar prominence region. Anatomically, compared to Caucasians, Asians have thick skin and a wide and short facial geometry. Asians generally exhibit zygomatic protrusion; accordingly, bone contouring surgery, which alters the base frame used in a facelift, should be considered. We aimed to investigate the effects of simultaneous reduction malarplasty and facelift to achieve appropriate malar repositioning and a youthful-looking face.
We assessed 16 Asian women who underwent simultaneous reduction malarplasty and facelift between March 2014 and March 2018. The clinical results were assessed based on preoperative and postoperative photographs and Global Aesthetic Improvement Scale scores.
Surgery was successful in all cases. Postoperative improvement with regard to facial rhytides and appropriate malar repositioning were achieved. All patients were satisfied with the outcomes. Some patients experienced short-term complications, but their conditions improved. Serious long-term complications were not noted.
Highly satisfactory outcomes can be achieved with combined reduction malarplasty and facelift for Asian women with wide faces.


Facelift; Zygoma; Osteotomy
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