Cheekbone Reduction

Latest update: May 03, 2024
Medically reviewed by: Jordan Frey, MD
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Cheekbone reduction surgery, also known as a zygoma reduction, can soften and shape square faces with a flat profile. The procedure can narrow the face and create a more feminine and slender shape. The facial structure of the cheekbone begins right below the temples all the way to the jaw. The structural prominence of the cheekbones in patients is categorized into three types. Type I has very prominent cheekbones and arches. In Type II, the illusion of prominent zygomas is due to hollow temples and cheeks. Type III is the combination of the two. During the procedure, the cheekbones are shaved down to create a more subtle look. For more dramatic results, the cheekbones can be broken and reshaped. 

Before the surgery, doctors obtain a CT scan or X-ray of the face to survey the cheekbones and examine their shape and size. The surgery requires general anesthetic. Surgeons make incisions inside the mouth, under the cheekbone and along the hairline. There are various methods used for the surgery and these depend on the patient's end goal. These techniques can include shaving, breaking, repositioning or removing the bone. Osteotomy is the most complex and intricate technique. During this procedure, surgeons cut the cheekbone and shift it into the desired position. Shaving is a much easier technique that will only remove a portion of the bone. Once the procedure is over, surgeons will stitch up the incision sites. Sutures are usually removed 7-10 days after the surgery. Patients will generally need to stay in the hospital overnight. 

During the recovery period, patients may find it difficult to move their jaw and chew food. They need to follow a soft food diet for a week. 

Swelling, bruising and numbness are expected side effects that usually ease after 1-2 months. Doctors also recommend sleeping in a slightly elevated position. Patients should avoid any strenuous exercises for 3-4 weeks until the patient has fully healed. Like most surgical procedures, a cheekbone reduction also comes with some risks. These can include infections, blood clots, asymmetry or anesthetic allergies.
Anesthesia
general
Operation Time
Inpatient Period
1 day
Number of Appointments
Recovery Period
1-2 weeks
Invasiveness
yes

Cheek Reduction Surgery | Wave Plastic Surgery

Dr. Peter Lee, a plastic surgeon in Los Angeles, explains the Malorplasty procedure. He describes the issue being tackled; patients that have prominent cheeks. While he notes that this is normally associated with beauty, he explains that there are instances where a person feels their cheeks make their face too large. He explains that the procedure isn’t right for everyone and describes that isn't an ideal candidate. He talks through the procedure and discusses recovery time.

How does the Cheekbone Reduction Procedure work? - Dr. Edmund Kwan, New York NY

Dr. Edmund Kwan, a plastic surgeon based in New York, tells us how a cheekbone reduction procedure works. He begins by describing who would be an ideal candidate for this procedure. He highlights how changes are achieved and describes the procedure.