O.N Clinic Facial Contouring Malar Midface Surgery: Regaining a Small, Three-Dimensional Face by Correcting a Widened, Asymmetrical Face After Failed Malar Surgery

After Previous Malar Surgery, a Face That Has Become Even Wider and Larger

One day, a patient visited my clinic. From the first impression, their face looked generally wide, and their head seemed large. As I began the Consultation, I listened to the patient's story and learned that they had already undergone malar Surgery at another hospital. However, they expressed concerns that after the Surgery, their face seemed to have become even wider and flatter, and their head appeared larger.

Upon reviewing the patient's CT scans, I found that while the 45-degree malar area was reduced in the previous Surgery, this resulted in the posterior and anterior midface areas becoming relatively wider, giving the overall impression of a flatter and larger face. This was a case that showed how significantly reducing only a part of the cheekbone can affect the overall balance of the face.

The Risks of Incorrect Orbital Bone (Eye Bone) Reduction Surgery

During the Consultation, the patient mentioned that they had been told at another hospital that reducing the bone around the eyes could make the eyes appear larger. In fact, some hospitals in Japan and Korea advertise that they can make eyes larger by cutting the orbital bone (eye bone). However, this is a very incorrect method and, in my opinion, a dangerous surgical approach that borders on fraud.

• Counterproductive Effect of Smaller Eyes: Cutting the orbital bone can actually make the eyes appear smaller. Reducing the bone around the eyes does not make the eyes larger; instead, it can weaken the supporting structure of the eyes, causing them to appear sunken or smaller.
• Facial Proportion Distortion: If only the orbital bone is reduced without considering the proportions of the entire midface, the lower part of the face may become wider than the upper part, disrupting facial balance and potentially making the eyes appear even smaller.
• Risk of Functional Problems: The orbital bone plays an important role in protecting the eyes. Aggressively manipulating this area carries a risk of serious functional problems, such as vision loss or impaired eye movement.

The correct way to make the eyes appear visually larger is not to reduce the orbital bone, but to change the facial proportions by making the entire midface relatively smaller than the orbital bone. Surgery that ignores such basic anatomical knowledge and aesthetic principles can lead to great dissatisfaction and side effects for the patient.

O.N Clinic's Malar Midface Surgery Goal: A Three-Dimensional and Balanced Face

At O.N Clinic, we accurately diagnosed the patient's previous Surgery problems and developed a re-Surgery Planning that considered the overall harmony of the face. The core goals of the Surgery were as follows:

• Midface Reduction: Effectively reduce the widened midface to narrow the width of the face and enhance its three-dimensionality.
• Malar Repositioning and Fixation: Reposition and firmly fix the 45-degree malar bone in the correct position to improve the facial contour.
• Correction of Facial Asymmetry: Correct severe malar asymmetry by aligning both sides perfectly straight to create a balanced face.

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The Surgery was precisely planned using 3D CT, and the angle of the malar bone, which was only half remaining due to the previous Surgery, was readjusted to Design the face to appear overall smaller and more three-dimensional.

Surgery Results: Midface Reduced by More Than Half and Improved Asymmetry

After the Surgery, reviewing the patient's 3D CT scans showed that the midface was reduced by more than half, and the facial width was significantly narrowed. Additionally, the severe malar asymmetry was improved, with both sides perfectly aligned straight. The malar bones were perfectly fused and maintained a stable state.

After the Surgery, the patient looked in the mirror and expressed satisfaction, saying, "I'm really pretty!" They were very happy with their face, which was much more three-dimensional and smaller than before, and with their balanced contour. This is the result of precise Surgery that goes beyond simply reducing bone, considering the golden ratio and three-dimensionality of the face.

O.N Clinic deeply understands each patient's face and accurately identifies problems from previous surgeries to provide the optimal solution. Our mission is not simply to shave bone, but to help you find the overall harmony and beauty of your face.

O.N Clinic | Last reviewed 2024-05-23