A patient who visited On Clinic was deeply concerned by several issues that arose after previous zygoma surgery. Specifically, it was a complex situation involving sagging and wrinkled skin in the zygoma area, facial asymmetry, and even traces of bone non-union from the initial surgery. The patient expressed regret that the previous surgery had made their impression somewhat strong and masculine, and desired a younger, more feminine face shape.
Revision Surgery: Design Beyond Simple Correction
When we first examined the patient's face, we recognized the importance of accurately understanding the complex condition resulting from the previous surgery. Skin sagging in the zygoma area, in particular, is a common phenomenon after facial contouring surgery. Dr. Oh explained this phenomenon, stating, "You see the wrinkled skin on the side? There are traces left after the lift surgery. I anticipate that these will also improve," emphasizing that revision surgery could address these skin issues as well. We also informed the patient that if any subtle traces remained after surgery, further improvement could be achieved with Botox injections.
Precise Diagnosis and Customized Surgical Plan
The patient's CT scan results revealed that the zygoma bone had been cut in the middle during the previous surgery and was attached unstably. Dr. Oh remarked, "Oh dear... there's a bone cut in the middle. Isn't XXX Hospital a famous place?" accurately diagnosing the problems from the previous surgery. To address these issues, we meticulously analyzed the degree of facial asymmetry, the precise position of the zygoma, and the condition of the skin and soft tissues through 3D CT analysis.
The patient desired a youthful yet feminine face shape. Upon hearing the patient's needs, Dr. Oh said, "Alright, let's make it happen! But we need to achieve skin contraction for this to be possible!" proposing an integrated approach that considered not only bone surgery but also skin elasticity improvement.
Dramatic Transformation Through Zygoma Revision Surgery
At On Clinic, we focused on precisely correcting the patient's asymmetrical zygoma and stably fixing the improperly cut bone from the initial surgery by realigning it. Our goal was to perfectly match the left-right asymmetry (with the right side being larger) visible in the pre-operative CT images.
"I will make it perfect!" "In fact, this surgery is more like orthognathic surgery than orthognathic surgery itself." "But the most important thing here is looking younger!"
Despite the high difficulty of the surgery, Dr. Oh demonstrated a strong commitment to ensuring the patient's satisfaction. Through zygoma revision surgery, the following changes were achieved:
- Zygoma Width Reduction: Significantly decreased from 82mm to 52mm.
- Improved Zygoma Protrusion: Reduced from 26mm to 12mm, creating a smoother profile.
- Facial Asymmetry Correction: Balanced the left and right zygomas, achieving overall facial harmony.
- Improved Skin Sagging: Maximized the youthful effect by considering skin elasticity alongside bone surgery.
This was a process that went beyond simple bone reduction, restoring overall facial harmony and balance.
Impression Change and Patient Satisfaction
Four months after the surgery, the patient returned with a remarkably transformed appearance. The strong, masculine impression of the past was gone, replaced by a kind, youthful, and feminine aura. The patient looked in the mirror with great satisfaction and expressed gratitude to Dr. Oh, saying, "Dr. Oh, you're the best!!"
At On Clinic, we strive to go beyond simply shaving bone, deeply understanding each patient's unique facial characteristics and desires to provide the optimal solution. Especially in revision surgery, precise analysis of the initial surgery's failure causes and the delicate skill and experience to improve them are essential. We continuously research and develop to deliver satisfying results even for revision patients with complex issues like these.
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Dr. Myungjun Oh, On Clinic | Last reviewed 2026-05-23