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Zygoma Revision: Bone Graft for a Hole in the Cheekbone Body Explained

Cheekbone reoperation gaps? Perfect restoration with bone graft

Zygoma Revision: Bone Graft for a Hole in the Cheekbone Body Explained
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A patient visited On Clinic due to unsatisfactory results from a previous cheekbone surgery. Specifically, a complex issue had arisen, involving a hole in the body of the cheekbone after the initial surgery, resulting in facial asymmetry, and non-union where the bone had not properly fused. This made revision surgery imperative. Dr. Myungjun Oh of On Clinic approached this complex and challenging case with deep consideration and a meticulous strategy to propose the optimal solution.

The Difficulty of Revision Surgery and Dr. Myungjun Oh's Precise Diagnosis

The hole in the body of the cheekbone that occurred after the initial surgery was a highly complex problem, requiring not just bone filling but also consideration for organic connection with surrounding soft tissues and functional recovery. It is far more intricate than typical cheekbone surgery, demanding a deep understanding of anatomical structures and skilled techniques. Dr. Myungjun Oh meticulously analyzed the patient's 3D CT scans from various angles, precisely identifying the bone condition, nerve line location, and the relationship with surrounding tissues.

"Wow, this is truly difficult. You see this bone gap here? We'll close that gap. And here, if possible, I'll perform bone grafting."

Dr. Oh meticulously planned to close the existing open cheekbone gap by carefully lifting and reattaching it, and to perfectly fill the perforated area with the patient's own bone or a safe alternative bone graft. This process goes beyond simply filling the bone; it's crucial for the new bone to integrate well with surrounding tissues to form a robust structure. Furthermore, he demonstrated a meticulous approach to address not only aesthetic improvements but also functional discomfort, such as the patient's difficulty in opening their mouth, by performing osteotomy on the jawbone process if necessary. Revision surgery is far more complex and challenging than initial surgery, making Dr. Oh's extensive experience, precise techniques, and problem-solving abilities essential.

On Clinic's Unique Surgical Approach: Ligament Preservation and Prevention of Sagging Cheeks

At On Clinic, during cheekbone revision surgery, we go beyond simply performing osteotomy and repositioning the bone. We employ a unique method to minimize post-surgical skin sagging and achieve a natural, elastic facial contour. Specifically, the surgical technique of preserving the 'retaining ligaments' is a key factor in preventing cheek sagging after surgery, a technique that embodies Dr. Myungjun Oh's extensive experience and expertise.

  • Retaining Ligament Preservation Technique: Surgery is performed without damaging the retaining ligaments, which are crucial ligaments connecting and supporting the skin and bone. This ensures that even when the bone moves, the skin and soft tissues naturally follow, effectively preventing post-surgical cheek sagging.
  • Complete Restoration through Precise Bone Grafting: The hole in the body of the cheekbone is perfectly filled using autologous bone grafting or a proven safe alternative bone graft, creating a smooth and robust cheekbone line. Over time, the grafted bone integrates with the surrounding bone, forming a natural shape.
  • Accurate Symmetry Implementation: Through pre-surgical 3D CT analysis, the cause and degree of the patient's facial asymmetry are precisely identified. During surgery, precise measurements and manipulations are used to achieve maximum left-right symmetry, contributing to maximizing the overall harmony of the facial contour.

Post-Surgical Care: Misconceptions about Compression Bands and Proper Recovery Methods

Many patients believe they need to wear a compression band for swelling management after surgery, but Dr. Myungjun Oh provided a very important explanation regarding this.

"Compression bands actually hinder swelling reduction because they block lymphatic drainage. Swelling needs to drain downwards through the lymph, but compression bands obstruct this. Since our surgical method differs from other clinics, compression bands are not necessary. In fact, they can impede the reduction of swelling."

Patients who undergo surgery with Dr. Myungjun Oh at On Clinic benefit from a surgical method that preserves the retaining ligaments. Therefore, compression bands are not only unnecessary but can actually hinder lymphatic drainage, slowing down swelling recovery. We strongly advise our patients who have undergone surgery at our clinic never to use compression bands. After surgery, maintaining proper posture and following Dr. Oh's instructions for appropriate care are paramount for reducing swelling and achieving a swift recovery.

Remarkable Results: Perfectly Improved Facial Contour and Patient Satisfaction

One week after surgery, the patient revisited On Clinic and expressed great satisfaction with the remarkably improved changes. CT scans also confirmed that the hole in the body of the cheekbone was perfectly filled, and the overall facial contour asymmetry was significantly improved compared to before surgery. Dr. Oh explained that the bone graft area would become completely smooth after about one year, naturally fusing as if it were the original bone.

"The surgical results are incredibly good. Have you ever seen something this perfect?"

As Dr. Myungjun Oh's confident words suggested, the patient was extremely satisfied with her transformation and felt the decision to undergo revision surgery was truly worthwhile. On Clinic continuously researches and strives for precise surgical plans tailored to each patient and optimal results, even in such highly complex revision cases, prioritizing patient satisfaction and safety. If you have deep concerns or worries about facial contour revision surgery, we recommend seeking a detailed consultation with Dr. Myungjun Oh at On Clinic to discover a new sense of beauty.

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Dr. Myungjun Oh, On Clinic | Last reviewed 2026-05-23