Zygoma Reoperation: Repairing a Bone Gap From Excessive Shaving With Bone Graft
Zygoma Revision Surgery: Addressing Bone Gaps and Safety Concerns
The patient we are introducing today visited O.N Clinic due to severe side effects after their initial zygoma Surgery. The previous Surgery lasted an astonishing 11 hours, so long that even family members worried if something had gone wrong with the Surgery. The patient's CT scan unfortunately revealed that there was almost no bone remaining in the left zygoma. The bone, thinned to about the thickness of two finger joints, was in a state that could cause serious functional problems.
Problems with Improper Zygoma Reduction
Many people wish to reduce their facial width through zygoma reduction Surgery. However, simply shaving off a large amount of zygoma bone is not always the solution. Especially for individuals with a large head shape, even if more than half of the zygoma bone is removed, the overall width of the face often does not significantly decrease. This was also the case for this patient. While the right zygoma was relatively fine, the left zygoma bone was cut too much, resulting in a 15mm bone gap, which led to facial asymmetry and functional instability.
"There's no bone left. The right zygoma is fine, but the left is really (thin) like a finger joint... Even if you shave off more than half of the zygoma bone, for people with a large head shape, this part doesn't shrink. You shouldn't just blindly do zygoma reduction."
Even after the previous Surgery, the patient reportedly still felt that their head shape was large and wide. There was even a phenomenon where their eyes appeared sunken. This clearly demonstrates the limitations of simple reduction Surgery that does not consider the position and structural issues of the zygoma bone. A fundamental approach was needed to change the position of the zygoma bone and make it narrower than the head shape.
O.N Clinic's Zygoma Reconstruction and Bone Graft Solution
This patient's zygoma revision Surgery required a very high level of difficulty. The bone was already severely damaged and insufficient. However, at O.N Clinic, we did our best to improve the patient's problems.
- Bone Graft: To fill the 15mm bone gap caused by the previous Surgery, we performed a bone graft using the bone that was to be removed. This not only fills the bone but also plays a crucial role in securing the structural stability of the zygoma bone.
- Zygoma Bone Position Reconstruction: The small and thinned zygoma bone was moved inward and reconstructed to align with the eye bone line. Through this process, we were able to improve the overall facial proportion and create a more three-dimensional face shape.
- Bone Strengthening: Through bone grafting and reconstruction, the zygoma area, which was barely attached before the Surgery, was made much stronger and safer. This is an essential process for long-term stability and functional Recovery.
After the Surgery, the patient's facial proportions were three-dimensionally improved, and they also achieved the effect of bone strengthening. It was a delicate reconstruction Surgery that considered the anatomical structure of the zygoma bone and the overall balance of the face, rather than simple reduction, that led to successful results. At O.N Clinic, we meticulously analyze each patient's condition and constantly research and strive to provide the most suitable solution. We will do our best to satisfy our patients, even in difficult revision Surgery cases, without giving up.
O.N Clinic | Last reviewed 2024-05-23