Cheek Sagging After Cheekbone Reduction Surgery?

Small face shapes can be created through facial contouring surgery, but as time passes, cheek sagging may develop and make a person look older.

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Facial contouring surgery has continued to evolve to minimize cheek sagging, but many people still struggle with this issue after facial contouring surgery.

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In mild cases of cheek sagging, lifting procedures may be effective, but they often have a short duration and insufficient results.

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'Cheek Sagging After Cheekbone Reduction Surgery'

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Cheekbone reduction surgery is a procedure in which the cheekbones are osteotomized, the bone segments are removed, and then moved inward and fixed. As the size of the cheekbones decreases, cheek sagging may occur.

Condition after cheekbone reduction surgery. CT scan.

Cheek sagging that occurred after cheekbone reduction surgery. Before mini facelift surgery in the 40s.

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If the skin has low elasticity or there is a lot of facial fat, cheek sagging tends to appear more pronounced, and in some cases the sagging becomes more severe with age.

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The most common case is when a person who had facial contouring surgery in their 20s or 30s develops skin sagging earlier after entering their 40s.

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'Dissection of the retaining ligaments in a deep mini facelift'

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A deep mini facelift is a procedure that lifts sagging areas of the face through a short incision.

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Unlike a general mini facelift, it approaches the deep plane of the face and lifts by extensively dissecting the SMAS layer.

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Therefore, for the effects of a mini facelift to be excellent, dissection of the facial retaining ligaments is important.

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Facial retaining ligaments and branches of the facial nerve.

In particular, if cheek sagging in the midface has occurred due to cheekbone reduction surgery, it is important to sufficiently dissect the zygomatic retaining ligament and the masseteric retaining ligament.

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However, because the retaining ligaments of the midface are located very close to the facial nerve, which is an important structure of the face, preventing nerve damage during surgery is extremely important.

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For that reason, safe and satisfying surgical results can be expected only when anatomical understanding of the deep layers of the face and refined surgical technique are in place.

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'The effects of a deep mini facelift and before-and-after results'

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Before-and-after comparison of a deep mini facelift. This is a real model who consented to disclosure.

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Summary of deep mini facelift effects

Item	Details
Surgical area	Centered on the midface (nasolabial folds, cheek sagging, jawline, etc.)
Incision	Short incision along the inside of the scalp and the line in front of the ear (minimizes scarring)
Dissection depth	Below the SMAS, including retaining ligaments
Effect	Improvement of nasolabial folds, restoration of midface volume, natural lifting
Recovery period	Stitches removed after 10 days. Swelling resolves within 2 weeks

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