Zygoma Reduction Plasty (Cheekbone Reduction Surgery)

What is a zygoma reduction plasty?

A zygoma reduction plasty or cheekbone reduction surgery is a plastic surgery procedure to reduce the size and appearance of the zygomatic bones. The zygomatic bones compromise the zygomatic arch, provide cheek definition, and contribute to the contours of the midface. Of note, a Zygoma Reduction Plasty does not address cheek concerns due to overly large buccal fat pads (cheek soft tissue fat pads), which would be better altered through a Buccal Fat Pad Removal cosmetic surgery.

There are two methods for zygoma reduction plasty. A bone shaving technique is best to reduce forward protrusion of the cheekbone, but not ideal for reducing facial width. For those with more severe cheek concerns, a more invasive cheekbone osteotomy is an alternative method.

Zygoma reduction plasty plastic surgeries are ideal for contouring of the midface, reductions in facial width, and as a solution to cheek drooping. Zygoma reduction plasty or reduction malarplasty is popular among Asian individuals to reduce facial width.

What cosmetic concerns does a zygoma reduction plasty procedure treat?

1. Cheek Volume: Alterations to the cheekbones (zygomatic arches) improve facial contours, alter the appearance of cheek volume, and create more definition in the midface.

Who is the ideal candidate for a zygoma reduction plasty procedure?

The ideal candidate for a zygoma reduction plasty is an individual in generally good health who is dissatisfied with the over prominence of their cheekbones. Zygoma reduction plasty is not recommended for those under 18, or those who have large buccal fat pads causing facial fullness that would be better addressed through a Buccal Fat Pad Removal plastic surgery.

What is the average recovery associated with a zygoma reduction plasty procedure?

Most patients experience five to seven days of acute downtime following a zygoma reduction plasty. Bruising and pain usually resolve within one week. Swelling can last up to three months. Activities can begin to be resumed after one to two weeks, and progressed as tolerated through consultation with the provider at plastic surgery follow up appointments.

What are the potential side effects of a zygoma reduction plasty procedure?

Possible side effects following a zygoma reduction plasty include infection, swelling, discomfort, asymmetry, poor bone healing, changes in sensation, droopy cheeks, and potential for bone regrowth in the shaving method.

What can someone expect from the results of a zygoma reduction plasty procedure?

The results of a zygoma reduction plasty are permanent zygomatic reduction (decrease in the size of the cheekbones). The results begin to become noticeable after two to three weeks, but will continue to evolve to their final appearance over three months.

What is the average cost of a zygoma reduction plasty procedure?

A zygoma reduction plasty procedure can cost anywhere from $2,000 to $8,000. The actual cost of a zygoma reduction plasty is dependent upon location, board certified facial plastic surgeon, and length and involvement of the plastic surgery.