Reduction malarplasty combined with facelift via the prezygomatic space

Abstract

The demand for facial rejuvenation surgery is increasing with the increase in the elderly population. Among surgical treatments, facelift is widely used to lift the soft tissue, weaken the nasolabial groove, and provide volumetric fullness to the face [1]. However, due to differences in the anatomical structures of the faces of Asians and Caucasians, this method currently does not yield satisfactory outcomes for all Asian women. The faces of Asians differ from those of Caucasians with respect to the skull structure and facial fat. Relative to Caucasians, Asians generally have a wider and flatter face, a greater bizygomatic distance, and a less developed premaxilla. Moreover, the facial fat is fully distributed in the malar and submalar regions in Asians. As Asian individual ages, the facial fat descends, and the face becomes more rectangular and boxy [2,3]. For these reasons, some older Asian women exhibit zygomatic protrusion and wide faces. In these patients, performing only a soft tissue facelift will cause the face to look wider and the zygoma to appear more protruded. In Asian culture, an overly protruded zygoma and wide face are undesirable because they suggest an unaesthetic and harsh appearance. When facelift is performed in isolation, without consideration of this cultural feature, patients with zygomatic protrusion often complain that their face looks wider after surgery. Therefore, it can be concluded that without considering the cultural and anatomical differences between Asians and Caucasians, Yoon Joo Lee, Il Seok Lee, Ho Jik Yang