A comprehensive guide to zygoma (cheekbone) reduction surgery, including what to expect from the procedure, the recovery process, long-term care, and essential FAQs.
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Zygoma (Cheekbone) Reduction Surgery and Recovery
Facial balance is an important part of our appearance and self-confidence. For some, prominent cheekbones can make the face appear wide or angular. Zygoma (cheekbone) reduction surgery is a specialized cosmetic procedure that reshapes the cheekbones to create a softer, more harmonized look. If you’re considering this transformative surgery, it’s essential to know what’s involved, what the recovery looks like, and how you can achieve the best long-term results.
What Is Zygoma Reduction Surgery?
Zygoma reduction, or cheekbone reduction, is a cosmetic surgery that decreases the size and projection of the zygomatic bones those which give the cheeks their height and width. This surgery is sought by anyone wanting to achieve:
- A slimmer, more oval facial profile
- Improved facial balance between the upper, mid, and lower face
- Enriched, softer contours for a youthful appearance
Because the procedure changes the underlying bone, the results are permanent. It’s vital to have the surgery carried out by a board-certified plastic surgeon with experience in facial bone surgery.
Understanding the Surgical Process
Pre-Surgery Assessment
The journey begins with an in-depth consultation. You and your surgeon will discuss your goals, review your medical history, and determine your facial anatomy through physical examination and sometimes imaging scans, like 3D CTs or traditional X-rays. Your surgical plan is tailored to your needs for the best aesthetic result.
Surgical Techniques
There are two main surgical approaches:
- Osteotomy (Bone Cutting and Repositioning):
This is the most effective method for significant zygoma reduction. The surgeon makes small, hidden incisions usually inside the mouth (intraoral), sometimes near the hairline (sideburns). The zygomatic arch is cut, repositioned (moving it inwards and backwards), and secured with tiny surgical plates and screws, ensuring stability and symmetry. - Shaving/Burring:
In selected cases where only minor adjustments are needed, the bone surface can be shaved down. This technique is less invasive, suitable for subtle changes in cheekbone projection or contour, and involves a quicker recovery. However, results are more modest.
During Surgery
- General anesthesia is used so you remain comfortable and pain-free.
- The surgery typically takes 2–3 hours, depending on complexity.
- Most incisions are intraoral, meaning there are no visible facial scars.
- Bone is carefully reshaped and repositioned; nerves and other facial structures are preserved.
- Incisions are closed with dissolvable stitches to allow for healing without suture removal.
Recovery at a Glance
Immediate Post-Surgery (First 48 Hours)
- Head Elevation: Keep your head elevated even when sleeping to minimize swelling.
- Cold Compresses: Apply as directed to reduce initial bruising and swelling.
- Pain Management: Use prescribed medications to control discomfort.
- Diet: Start with liquids, transitioning to soft foods as tolerated to avoid stressing the jaw.
Early Recovery (First 2 Weeks)
- Swelling and bruising are at their peak during this stage, gradually improving.
- Rest is key; avoid strenuous activities, heavy lifting, or bending.
- Gentle walks are encouraged to aid circulation.
- Use antiseptic mouthwash and brush teeth gently to keep intraoral incisions clean.
- Maintain a soft diet to protect the healing area; no hard, crunchy, or chewy foods.
Intermediate Recovery (2 Weeks to 1 Month)
- Most swelling and bruising will begin to resolve.
- Gradually reintroduce soft solid foods as comfort allows.
- Return to light daily activities as permitted by your surgeon.
- Attend all scheduled follow-up appointments to monitor healing and catch potential issues early.
Long-Term Recovery (1–12 Months)
- Visible swelling continues to subside, with most changes seen by one month, but subtle regions may linger for up to a year.
- Most activities, including exercise, can typically be resumed after one month, with your surgeon’s approval.
- The outcome, including the new contour, will be fully visible as all tissues settle.
Long-Term Care and Tips for Lasting Results
- Follow Up Diligently: Keep all post-op appointments for progress monitoring and early detection of complications.
- Maintain a Stable Weight: Significant weight fluctuations can alter facial fat and influence your appearance.
- Protect Your Skin: Shield the face from excessive sun exposure to preserve skin quality and elasticity, which enhances your surgical results.
- Oral Hygiene: Continue using gentle dental care, especially if you have ongoing intraoral healing.
- Be Patient: Final results take time. Trust the process and communicate with your care team if you have concerns.
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FREQUENTLY ASKED QUESTIONS
How long is the recovery?
Most people can return to desk work in 10–14 days. Significant swelling improves over the first month, but complete healing and the final shape may take 6–12 months.
Does it hurt?
You’ll be under anesthesia during surgery. Afterward, expect some discomfort, swelling, and tightness typically well-managed with medication. Most patients find recovery tolerable.
Are the results permanent?
es, because the surgery changes the bone. Your new cheek contour won’t reverse, although the appearance can subtly shift over the years with normal aging.
When can I return to normal activities?
Light activities can begin in about two weeks. Most routines, including gentle exercise, are safe at one month (with surgeon approval). Avoid direct trauma to the cheeks for several months.
What are the risks?
All surgery carries some risk. With zygoma reduction, potential risks include infection, nerve changes (numbness or tingling), asymmetry, or bone healing issues. These are rare when performed by an experienced surgeon.
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