Zygoma Revision Surgery: Step Deformity and Its Solutions

Zygoma revision Surgery is a complex procedure that goes beyond simply reducing bone; it requires consideration of the overall harmony and function of the entire face. In particular, a "step deformity" or non-union of bones resulting from previous Surgery can cause significant stress and aesthetic dissatisfaction for patients. At O.N Clinic, we strive to precisely diagnose these issues and provide optimal solutions tailored to each patient's condition to achieve satisfactory results.

Why Does Step Deformity Occur?

The patient who visited us this time had undergone zygoma Surgery previously but was concerned about a noticeable indentation on the right zygoma area. Many people believe that such indentations are due to bone gaps or non-union, but there can actually be other causes.

After a thorough analysis of the patient's 3D CT Scan results, the primary cause of the indentation was not a bone gap. Instead, a part of the zygomatic bone located near the sideburns was excessively protruding, which was confirmed to have caused a "step deformity" where the zygomatic bone appeared to be divided into two layers, like a step. This step deformity created a shadow, making it visually appear indented.

"The reason for the indentation on the right zygoma area was not a bone gap, but rather a protruding bone located near the sideburns. And if you look closely, can you see the zygomatic bone that is layered like a step? The indentation occurred due to the step deformity of the zygomatic bone, which created a shadow, not due to non-union."

This phenomenon can occur during the process of osteotomy and repositioning the bone during Surgery, and it is a problem that can easily arise if the focus is solely on reducing the bone. Especially for male patients, it is known that the difficulty of Surgery is even higher because their heads are larger and muscles are more developed than women's. This is why it is necessary to accurately understand the anatomical structure of the bone and the characteristics of the surrounding tissues and approach them delicately.

O.N Clinic's Zygoma Revision Surgery Solution

At O.N Clinic, we adopted the following approach to resolve this step deformity:

• Precise Diagnosis: We accurately identify the bone structure and problems through a 3D CT Scan. In the patient's case, not only a step deformity of the bone but also some areas with insufficient bone were identified.
• Customized Planning: We focused on smoothly connecting the two layers of the zygomatic bone into one layer and sufficiently reducing it inward to gently improve the facial line.
• Concurrent Bone Grafting: For areas with insufficient bone, we supplemented the volume through bone grafting, creating a natural and firm overall contour. Bone grafting is a crucial process not only for filling the shape but also for long-term stability and Natural Results.

After the Surgery, the patient touched the zygoma area directly and said, "It's gone!", expressing satisfaction that the indentation had disappeared. Through pre- and post-Surgery CT images, it was confirmed that the midface was effectively reduced and the facial line became smoother.

Post-Surgery Care and Precautions

Post-Surgery care is as important as successful Surgery for zygoma revision. At O.N Clinic, we provide detailed guidance to help patients achieve optimal Recovery.

• Swelling Management: Post-Surgery swelling is a natural phenomenon, but it can be minimized through cold compresses and appropriate compression care.
• Dietary Adjustments: It is recommended to consume soft foods and avoid irritating foods.
• Combined Skin Procedures: Skin procedures such as Sofwave or Ultherapy (PRIME), which the patient inquired about, can be performed approximately 1 month after Surgery. However, the timing of the procedure may vary depending on individual Recovery speed and skin condition. I will personally assess the patient's condition and Design the procedure to be performed at the dermatology clinic.

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O.N Clinic's Promise

O.N Clinic prioritizes the safety and satisfaction of our patients. Based on Rich Clinical Experience and continuous research, we strive to provide the most suitable solutions for each individual's face. Especially for highly difficult procedures like zygoma revision Surgery, the surgeon's skill and accurate diagnosis are very important. We promise to do our best to ensure that patients can maintain satisfactory results for a long time after Surgery.

O.N Clinic | Last reviewed 2026-05-23