The prominent malar region has been recocnized a sign of youth and beauty in caucasian who generally have a dolichocephalic and long face. but in the orients, especially Koreans who generally have a mesocephalic or brachycephalic face, it is
considered
an agressive, unesthetic facial appearance. So many patients require the shaving of prominent malar eminence and arch, and many methods of its reduction have been devised.
For the exposure of malar complex, infraorbital skin incision, intraoral approach, preauricular approach, supraauricular scalp incision, and coronal approach have been used. And for the reduction of bony structure, direct shaving, contouring and
repositioning of the malar complex after extirpation, and medially fracture of zygomatic arch have used with its own merits.
We performed the reduction malarplasty through intraoral approach. After two parallel oeteotomy at medial part of the zygomatic bone, the midsegment is removed. th eposterior arch of zygoma was bended or green stick fractured. When more
correction
was
required, the posterior arch was fractured medially through the step incision at skin.
This method has a some advantages. Compared with the method of extirpation of malar complex, the infection rate is diminished, the resorption is small because of no free bone graft. And cheek drooping is prevented. Compared with the method of
coronal
approach, the surgical trauma is minimal.
Now we report some cases of reduction malarplasty performed through intraoral approach and disscus the surgical technique and results.
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