Consultation on Cheekbone Reduction Surgery - 2

Hello. I left an inquiry yesterday.

I read your reply carefully. Thank you for the detailed response. But I do have one question. Most plastic surgery clinics say they fix the body and either fix or do not fix the arch, but at Jae-rim it seems to be the opposite, so I was wondering about that. In some hospitals, they say it is non-fixation: they perform an incomplete osteotomy of the body, a complete osteotomy of the arch, then do non-fixation and molding. That would certainly be different from Jae-rim’s surgery, but is the method for the body part the same? In other words, is the body part an incomplete osteotomy? Generally speaking, I have heard that if the body is osteotomized and not fixed, the bone will separate and not heal together. Anyway, I’m a little curious about this part.

Also, regarding the arch area, some hospitals say that the periosteum will naturally fix the bone and allow it to heal, so they fix only the body and do not fix the arch. That hospital said the side-cheekbone effect is about 7 mm per side, which is half of the maximum 15 mm stated on Jae-rim’s website. I’m wondering whether fixation is necessary to create a larger reduction in the side cheekbones, or whether fixation is not really needed if only a small reduction is done.

I think the method of the surgery I will receive is also an important factor in choosing a hospital. Although I am just a layperson without professional medical knowledge, I think there is a big difference between having surgery while understanding it and having surgery without knowing. So this may seem a little inconvenient from the perspective of a doctor like you, who is an expert. Because of that, if I met you in person and asked questions back and forth, I might end up being a nuisance to you, so I feel that this kind of consultation post is more comfortable.

My inquiry got long. Thank you for reading, and I’d appreciate your reply. I’ll see you around mid- to late February. Enjoy the holiday and Seollal, and please receive lots and lots of New Year’s blessings.

 

A.

Hello, this is Jung Jae-young.^^   You’ve sent another inquiry.^.^   Lunar New Year’s holiday begins today, and I’m glad the weather isn’t all that cold.   It also feels warm to see everyone heading to their hometowns with excited hearts~   Happy New Year.^.^   Then I’ll give you a more detailed answer to your questions.   If it’s not too inconvenient, I think it would be appropriate for you to visit us in person once and look at several visual materials to help understand.   That’s because even when we explain the method through a conference to board-certified plastic surgeons, many of them still come to the clinic to observe the surgery.   In any case, the main part of our cheekbone reduction method is to maintain the curve of the cheekbone body as much as possible while moving the side cheekbone inward.   A certain degree of volume in the front cheekbone should be preserved to look youthful and lively.   Therefore, the cheekbone body, which determines the contour of the front cheekbone, is shaved to bring out its curved beauty and reduce the rugged impression.   Of course, the surgical method of cutting and fixing the cheekbone body is a relatively easy method with little risk, even for an operator with limited experience.   Right after I obtained my specialist certification, I also performed many cheekbone surgeries using that method, and it only takes a little over an hour to complete surgery on both cheekbones.   However, if the cheekbone body is cut away, two problems can arise in the post-surgical midface contour.   First, the highlight area of the front cheekbone in the midface becomes too flat and plain.   Second, the soft tissue, muscles, and skin attached to the cheekbone body sag downward, making the cheeks appear droopy.   Therefore, the cheekbone body is subjected to incomplete osteotomy.   It is similar to the way a bamboo stalk bends and breaks.   However, properly performing an incomplete osteotomy on the cheekbone body is a very difficult procedure, so it is not suitable for an operator with little experience.   It is the most difficult part among our cheekbone procedures.   The degree to which the width of the side cheekbones can be reduced is determined by how much the laterally flared cheekbone arch is moved inward while the cheekbone body remains incompletely osteotomized.   Depending on the need, we sometimes reduce it as much as possible, sometimes reduce it moderately, and also adjust the amount according to the degree of asymmetry on both sides of the face.   Of course, after moving it, the posterior part of the arch should be fixed.   If the reduction is within 5 mm, fixation is not necessary.   The part you briefly mentioned about "non-fixation and molding" is, in my opinion, not even worth mentioning as a surgical method.   To put it bluntly, rather than having surgery with that method, I sincerely hope you would not go through unnecessary hardship.   I wonder if this has been a sufficient answer~   If you have any further questions, please feel free to ask again anytime.   Congratulations on your graduation, and I hope your new year is filled only with good things.^.^