Reduction of the prominent zygomata is occasionally required in aesthetic surgery in Oriental patients. Two approaches to surgical exposure are commonly used; one is oral and the other is coronal. In addition, there are two basic surgical concepts of reduction malar-bone plasty; one is thinning and chiseling the prominent area, and the other is mobilizing the prominent zygoma by osteotomy of the zygomata. We devised a new tripod osteotomy of the zygomata by the coronal exposure approach and applied it to correct prominent zygomata in association with fronto-periorbital lifting in Oriental patients. Satisfactory results were obtained and we concluded that this was an effective procedure to correct prominent zygomata for elderly Oriental patients.
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