Although the term "bone shaving" is often used for cheekbone reduction surgery, the actual thickness of the cheekbone is minimal, so little bone is removed. The procedure primarily involves cutting the bone and repositioning it to achieve reduction. Thus, the expression "bone shaving" is not entirely accurate. Cheekbone contouring surgery is the method used to lower prominent cheekbones, and this description is highly descriptive and easy to understand.
Precautions for Cheekbone Reduction
1. Female patients should avoid scheduling the procedure during menstruation.
2. Ensure no oral infection sources exist preoperatively, such as cavities, periodontitis, or oral ulcers.
3. Patients must be in good health with no significant organ-related organic diseases, such as heart disease, hepatitis, nephritis, or pneumonia.
4. Routine health examinations including blood and urine tests, chest X-ray, and electrocardiogram (ECG) are required before zygomatic bone reduction.
5. Rinse mouth with compound boric acid solution for 3 days prior to surgery. Professional dental cleaning may be performed if necessary. If an external incision is required, disinfect the area with a 1:1000 chlorhexidine solution.
6. Smoking must be discontinued prior to zygomatic bone reduction. Aspirin, contraceptives, and certain anti-inflammatory medications may increase bleeding risk; therefore, these drugs should be discontinued for a period before surgery.
7. Routine frontal and lateral facial photographs should be taken for postoperative comparison and efficacy assessment. A three-dimensional cranial CT scan may be performed if feasible.Take maxillary X-rays to assess maxillary sinus development. In specific cases, facial impressions should be taken to accurately measure the volume of bone to be removed from the zygomatic arch.
The procedure begins with disinfection of the face, neck, and oral cavity. Local or general anesthesia is administered. An incision is made either intraorally or along the hairline at the forehead.Gradually expose the target area (zygomatic bone) while avoiding damage to blood vessels and facial nerves. Employ a micro-surgical power system for zygomatic bone reduction, inserting miniature saws through the mouth to perform bone cutting or grinding. Close the incision with sutures and apply dressings.