ON Clinic Zygoma Revision: A Case of an Unusually Large Head
O.N Clinic Facial Contouring Zygoma Revision Surgery: A Patient's Successful Transformation After Worrying About a Large Head Shape
Hello, I am Dr. Oh Myung-jun from O.N Clinic. Today, I would like to introduce a case of zygoma revision Surgery for a patient who was concerned that their head shape was large, making their face appear wider and longer. This patient, in particular, had severe left-right facial asymmetry, and unusually, the left zygoma was more prominent. In most cases, the right side is larger, but for this patient, it was the opposite, requiring a more meticulous approach.
Customized Zygoma Reduction Surgery Planning
When I first examined the patient's face, their head shape itself was quite large, but their face appeared relatively small. In such cases, there is a risk that simply performing Surgery to reduce the zygoma may make the face appear even longer and wider. Considering this, I focused not just on reducing the zygoma, but on balancing the entire face.
The most important aspect was to reduce the zygoma in a straight line, aligning it with the eye bone line. Since asymmetry between the eye bone and the head shape is difficult to improve with Surgery, the key was to naturally reduce the zygoma to match the eye line. We precisely analyzed the patient's skull structure through CT scans. In particular, we confirmed that the zygoma was more prominent than the temple area, and we planned a mid-face reduction Surgery to push the zygoma inward by utilizing this prominent space.
Effective Surgical Method and Results
The mid-face reduction Surgery I performed is a method that reduces the internal space of the zygoma to narrow the overall facial width. Through this method, not only is the zygoma reduced, but as the zygoma, which was more prominent than the head shape, moves inward, the overall three-dimensionality and harmony of the face may be improved. As a result, a visual effect of the head appearing smaller can be achieved.
After the Surgery, the patient was very satisfied. Before the Surgery, there were many bone gaps in the zygoma area, but after checking the post-Surgery CT, we could confirm that they were perfectly fused without any bone gaps. Both zygomas were reduced by 15mm each, significantly improving the facial width. The patient said they were very satisfied just by looking at the photos.
"I'm so satisfied just by looking at the photos!"
Post-Surgery care is also important. We provided instructions on how to manage the surgical site to prevent inflammation. After the swelling subsides, if necessary, a temple Botox procedure can be performed to achieve an even smoother facial line.
- Before Surgery: Large head shape making the face appear wide and long, left-right zygoma asymmetry (left prominent)
- Surgery Goal: Reduce the zygoma in a straight line to match the eye bone line, achieve facial width harmonious with the head size
- Surgical Method: Mid-face reduction Surgery to reduce the internal space of the zygoma
- Surgery Results: Both zygomas reduced by 15mm each, perfect bone fusion without bone gaps, visual effect of the head appearing smaller
Before the Surgery, I anticipated that this patient's large head shape would make the Surgery challenging. Even after completing the Surgery, I thought, 'Indeed, Surgery is difficult for people with large head shapes.' However, I am now very happy to have achieved such successful results that I can't even remember how large the head shape was before the Surgery. As such, it is crucial to accurately analyze the unique characteristics of each individual's face and establish a customized Surgery Planning accordingly.
O.N Clinic | Last reviewed 2026-05-23