Zygoma Revision Surgery: Restoring Facial Harmony
This video introduces a case of revision surgery for a patient who suffered from side effects after undergoing zygoma surgery at another clinic. The patient, who was distressed by her face appearing larger and severe cheek sagging after the initial surgery, revisited On Clinic.
The Shortcomings of the First Surgery: Zygoma Surgery Without Midface Reduction
A year ago, when the patient consulted with our clinic, she was advised to undergo midface reduction along with the zygoma surgery. However, due to cost concerns, she opted for a 3-in-1 facial contouring surgery at another clinic. Unfortunately, the initial surgery was not satisfactory.
"By reducing only the zygoma without reducing the midface, a 'step deformity' appeared. This area actually looked larger, and there was sagging."
As explained by Dr. Myungjun Oh, reducing only the zygoma without sufficient improvement in the midface area resulted in a 'step deformity,' making the central part of the face appear wider. Furthermore, severe cheek sagging contributed to an overall older appearance.
On Clinic's Decision for Revision Surgery: Harmonizing Bone Repositioning and Lifting
The patient revisited On Clinic for revision surgery one year after her initial procedure. Dr. Oh had reassured her from the first consultation, saying, "You will become beautiful, so don't worry." However, her choice to prioritize cost led to more expenses and distress in the long run.
At On Clinic, we believe in more than just bone reduction; we prioritize overall facial harmony and natural lifting effects. For this revision surgery, we focused on adjusting the bone position to shorten the midface length and simultaneously lift the sagging skin.
- 3D CT Analysis: Precise 3D CT scans before surgery allowed us to accurately identify the issues from the previous operation.
- Zygoma Repositioning: The splayed zygoma bones were moved inward to reduce facial width.
- Midface Reduction: The zygoma bones were moved upward to effectively shorten the midface length.
- Skin Lifting: By utilizing the retaining ligaments firmly attached to the bone, we ensured that the skin was naturally lifted as the bone was elevated.
Post-Revision Changes: Rejuvenation and Satisfying Results
The patient experienced remarkable changes after the surgery.
"Can you see how the sagging skin has lifted? Because the retaining ligaments are attached here, when the bone is lifted, the skin also lifts with it."
As Dr. Oh explained, the sagging skin was lifted, transforming her face into a much younger and more vibrant appearance. The reduction in facial width and shortening of the midface length resulted in an overall softer and more refined impression. The patient was highly satisfied when looking in the mirror.
"I'm glad I did it sooner; the results are very satisfying. If I had waited longer, I might not have seen such a significant effect."
This case demonstrates the importance of a comprehensive approach to facial contouring surgery, which considers not only bone size reduction but also facial dimensionality and skin elasticity. Especially in revision surgery, accurately analyzing the reasons for the initial surgery's failure and providing a customized solution tailored to the individual's facial structure is crucial.
On Clinic is committed to helping patients avoid unnecessary distress and achieve satisfactory results from the outset. If you have concerns about facial contouring surgery, please feel free to contact us anytime via Chat for Consultation Now.
Dr. Myungjun Oh, On Clinic | Last Reviewed: 2026-05-23