Reduction Malarplasty With Face-Lift for Older Asians With Prominent Zygoma.

[BACKGROUND] In Asian culture, overly prominent zygomas are undesirable because they give a masculine and severe appearance. Thus, reduction malarplasty is now becoming one of the most popular procedures among Asian women. However, older patients present sagging facial soft tissue and have high incidence of cheek descent after surgery. To overcome these issues and achieve better cosmetic surgical outcomes, we performed a reduction malarplasty combined with a face-lift to achieve an oval and youthful midface.

[METHODS] It was a retrospective observational study of 22 older Asian women who complained of prominent zygoma and aged midface. All of them had undergone reduction malarplasty combined with cheek-lift. Clinical results were assessed with photographs and patient satisfactory rates.

[RESULTS] The L-shaped reduction malarplasty with face-lift was performed successfully in all cases. All of the patients recover successfully without major complications. Malar prominence and midface aging was improved, and the natural midface contour was preserved. One hundred percent of the patients thought that the shape of their midface had improved, and 95.5% were satisfied with the rejuvenation of midface.

[CONCLUSIONS] The reduction malarplasty combined with face-lift effectively addressed the malar prominence and midface aging issues simultaneously. Therefore, this can be a useful technique to restore the youthful and proportionate facial relationships in older Asian patients.