They say that during cheekbone surgery, the periosteum is preserved at the osteotomy site, so fixation is not necessary...?

In cheekbone reduction surgery, it is necessary to refine both the front cheekbones (45-degree cheekbones) and the side cheekbones into a shape that is appropriately smaller and smoother.

 

In this type of cheekbone surgery, one method used to reduce the side cheekbones is to move the cheekbone arch, which determines the contour of the side cheekbones, inward.

 

When it comes to reducing the side cheekbones, the expression “non-fixation surgery” is sometimes used. Such explanations mean that after moving the cheekbones inward, they are not fixed, which is viewed as an irresponsible approach.

 

In cases where cheekbone non-fixation surgery is promoted, the reason given for not fixing the bone is sometimes that the periosteum remains intact, so fixation is not necessary. However, the problem with that explanation is as follows.

 

 

You may understand the claim that after osteotomy, the bone is moved inward to reduce the side cheekbones, and because the periosteum remains intact there is no need for fixation, as a greatly exaggerated excuse.

 

The reasons are the following two points.

 

First, the periosteum is an extremely thin tissue that surrounds the bone and has almost no elasticity.

 

To move the side cheekbones inward by nearly 10 mm, or even up to 15 mm, from one side, the periosteum cannot maintain continuity as it is.

 

Second, if fixation is unnecessary because the periosteum remains intact, then there would be no need to fix other body parts either when they undergo osteotomy.

The idea that osteotomy can be performed while preserving the periosteum is somewhat far-fetched.

 

If you decide to undergo surgery after hearing such an explanation, it is safest to have a 3D-CT scan taken at a radiology specialty clinic to compare the condition of the cheekbones before and after surgery, and to proceed with the operation on that basis.

 

Because I have seen too many cases of damage caused by non-fixation after cheekbone surgery, the final thing I would like to emphasize is the following.

 

Therefore, unless you are planning to have surgery using a clear and proven method, I think it may actually be better not to undergo surgery at all.