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Cheekbone Reduction Surgery Korea

Cheekbone Reduction
in Korea

It’s not just about shaving the bone.
It is a 3D structural rotation to slim the mid-face without sagging.

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What Is
3D Cheekbone Reduction?

1.5–2 hr

Procedure

Gen. Anesth.

Anesthesia

1–2 Wk

Daily Life

Cheekbone Reduction (Zygoma Reduction) targets the Zygomatic Arch (side width) and the Zygomatic Body (45° protrusion) to smooth the harsh mid-facial line.

Modern Korean techniques utilize "3D Rotation" and "High-L Osteotomy." Instead of simply grinding the bone (which flattens the face), the bone is cut, pushed inward, and securely fixed.

The goal is to reduce facial width while maintaining a youthful front volume and preventing soft tissue descent (sagging).

Structural

3D Inward Rotation

Simply shaving bone provides minimal results. The arch must be fractured and rotated inward to actually reduce facial width.

Safety

Rigid Fixation

Using titanium plates/screws prevents "non-union" (bone gaps) and is crucial for preventing cheek droop.

Anti-Aging

Soft Tissue Management

Techniques like "High-L" cuts help pull the muscle upward during fixation to minimize the risk of sagging.

Who Is a Good Candidate?

Identify if your wide face is caused by bone, fat, or muscle.

Side Zygoma Protrusion

  • Face looks wide from the front view
  • Bumpy facial outline under the temples
  • Shadows form beneath the cheekbone (making cheeks look sunken)

45° Zygoma Protrusion

  • Cheekbones protrude diagonally when viewed from 45 degrees
  • Strong impression or fierce look
  • Asymmetry in cheek height or prominence

When Surgery May NOT Be Ideal

  • Width is caused by temporal muscle or buccal fat (needs soft tissue work)
  • Severe skin laxity (Facelift might be needed simultaneously)
  • Unrealistic expectation of "flat" face (loss of volume ages the face)

Concerned About Sagging?

Cheekbone reduction requires precise fixation to support the skin.
Get a medical assessment of your skin elasticity and bone structure.

Free Online Consultation

Surgical Approach

Korean surgeons favor the "High-L" and "3D Rotation" methods for maximum reduction with safety.

Technique

High-L Osteotomy

The cut is made higher up on the zygomatic body (forming an 'L' shape). This maximizes the reduction of the 45° cheekbone width compared to traditional low cuts.

  • Reduces width effectively
  • Preserves natural volume highlights
  • intraoral incision used (no visible scar)
Technique

Posterior Arch Repositioning

The rear part of the cheekbone (near the ear) is cut via a tiny incision in the sideburn hairline. The arch is pushed inward and firmly fixed.

  • Smooths the side facial line
  • Reduces the "wide" appearance
  • Titanium pins ensure bone stability
Important

Fixation vs. Non-Fixation

We strongly advocate for Rigid Fixation using titanium plates. "Quick" or "Non-fixation" methods rely on natural healing but carry higher risks of bone displacement (non-union) and cheek sagging later.

  • Prevents bone from moving downward (Sagging)
  • Allows for faster jaw movement recovery
  • Pins are safe and permanent (or removable after 1 year)

Medical Pre-Op Checklist

Essential diagnostics for Zygoma Reduction.

3D-CT Scan

  • Map the exact thickness of the zygomatic arch
  • Locate the sinus cavity to avoid perforation
  • Identify asymmetry in left/right protrusion

Soft Tissue Analysis

  • Assess skin elasticity (Sagging Risk)
  • Determine buccal fat volume
  • Plan if lifting (thread/laser) is needed simultaneously

Medical Safety

  • Standard blood work & ECG
  • Anesthesia screening (General anesthesia required)
  • Dental check (mouth opening capability)

Bone Reduction vs Camouflage

Option Best For Limitations
Cheekbone Reduction True skeletal width & protrusion Surgical recovery; risk of sagging if poor technique
Fat Grafting (Temples) Sunken temples making cheekbones look big Adds volume to face (face gets bigger); temporary
Quick/Mini Zygoma Very minor side protrusion Often non-fixed (risk of movement); limited results
Estimated Cost $5,000 ~ $9,000

* Cost varies based on method (High-L vs Standard), fixation type, and anesthesia fees.

Recovery Timeline

Zygoma reduction generally has less swelling than jaw surgery.

Day 0-1

Surgery & Discharge

Usually 1 night hospitalization. Compression garment is key.

Day 5-7

Stitch Removal

Sideburn stitches removed. Intraoral stitches dissolve. Major swelling starts to subside.

2 W

Socially Presentable

Bruising mostly gone. Minor swelling remains but looks like "chubby cheeks."

2 Mo

Bone Healing

Bones are fusing. Avoid hard chewing (nuts, jerky) until this point.

6 Mo

Final Result

Swelling fully gone. Final facial width and contour revealed.

Safety & Possible Risks

Understanding specific risks for Cheekbone surgery.

Cheek Sagging

The most common concern. Since bone volume decreases, skin may droop. Proper upward fixation and good skin elasticity are required.

Non-Union

If the bone is not fixed properly, it may not heal together. This is why we prioritize rigid plate fixation.

Nerve Sensitivity

The infraorbital nerve runs near the cheekbone. Temporary numbness in the upper lip/cheek area is common but usually resolves.

Asymmetry

Faces are naturally asymmetrical. Surgery aims for balance, but perfect mathematical symmetry is impossible.

FAQ

Common questions, answered clearly.

Will my cheeks sag after surgery?
It is a risk, especially for older patients or those with low elasticity. Surgeons use "High-L" cuts and upward fixation to mitigate this. In some cases, a mini-lift is recommended simultaneously.
Do I need to remove the titanium pins/screws?
No, they are biocompatible and safe to leave forever. However, some patients choose to remove them after 1 year (requires a minor procedure).
Can I eat normally after surgery?
Soft diet for 1 week. Avoid hard, chewy, or crunchy foods (like nuts or squid) for at least 2 months to allow the bone to heal without stress.
Is "Quick Zygoma" better because it's faster?
"Quick" methods often use only one cut or no fixation. While recovery is faster, the reduction effect is smaller, and the risk of the bone moving out of place is higher.

Pricing

Real operating price list (reference). Currency: USD. Reference ranges. Final quotation depends on anatomy, technique, revision status, anesthesia type, and clinic policy.

Item Price (USD) Conditions
Zygoma Reduction (Standard) — Intraoral incision + fixation; complexity varies by anatomy. $8,500–14,000 Reference ranges. Final quotation depends on anatomy, technique, revision status, anesthesia type, and clinic policy.
3‑D Zygoma Reduction — For prominent lateral + anterior projection. $10,000–16,500 Reference ranges. Final quotation depends on anatomy, technique, revision status, anesthesia type, and clinic policy.
Revision Cheekbone — Scar tissue/plate revision can increase cost. $12,000–22,000 Reference ranges. Final quotation depends on anatomy, technique, revision status, anesthesia type, and clinic policy.
  • What’s included? Some clinics include design + local anesthesia; others bill anesthesia, meds, VAT, or hospital stay separately.
  • Final quote: after photo review + safety screening + (when needed) in-person exam.
  • Refund / revision policy: varies by clinic; always confirm before booking.

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