ZYGOMATIC REDUCTION

Zygomatic reduction involves reducing prominent cheek bones that make the midface (the middle part of the face) look too wide. This problem is not uncommon in Asian patients of Oriental descent. Dr Huang uses modern and minimally invasive Korean surgical techniques, instruments and equipment for this procedure. It is minimally invasive and requires only small incisions on the inside the cheek, with no external incisions. The entire procedure is therefore completed intraorally (i.e. through the mouth).

Small incisions are made on the inside of the cheeks. The arch of the cheek bone on the side of the face is exposed on its internal aspect. A specially designed powered saw is inserted and used to cut the arch of the cheek bone in several places so that a controlled fracture is created which allows the arch to be reduced inwards, thus narrowing that part of the face. If the front part of the cheek bone is also too prominent, it is reduced by filing down excess bone until the prominence of the cheek bone is judged to be just right. A fine drainage tube is inserted into the wound of each side of the cheek to allow residual bleeding to be evacuated after the surgery. The drainage tubes are connected to small plastic collection bulbs that are taped to the side of the neck for convenience. The operation takes one and a half hours and it is usually completed under general anesthesia as a day surgery procedure.

Postoperative pain is mild and well controlled with oral pain medication. There will be moderate facial swelling, but usually without bruising. A compression garment for the face is worn for the first one week. The surgical drains are removed after 24 hours during the first check up. No stitch removal is required since the sutures inside the mouth will dissolve on their own. During the first one to two days, a liquid diet is necessary because of the presence of the drain in the mouth. Thereafter, soft food is allowed until the end of the first week, when a normal diet is resumed. During the first one to two weeks, opening the mouth fully may be difficult due to swelling and stiffness of the cheek tissues, but this usually returns to normal by the end of the first month. The downtime is usually about two weeks due to facial swelling. Exercise may be resumed after one month.

MANDIBULAR REDUCTION

Mandibular reduction involves reducing excess bone in the angle and back of the lower jaw that makes the lower face look too wide and square. This condition is common in Oriental patients. Dr Huang uses modern and minimally invasive Korean surgical techniques, instruments and equipment for this procedure. It is minimally invasive and requires only small incisions on the inside of the lower cheek, with no external incisions. The entire procedure is therefore completed intraorally (i.e. through the mouth).

Small incisions are made on the inside of the lower cheeks. The outer surface of the mandible on each side of the face is exposed. A specially designed powered rasp is inserted and used to file away excess bone in the back and angle of the mandible until the lower face is judged to have been sufficiently narrowed. A fine drainage tube is inserted into the wound of each side of the lower cheek to allow residual bleeding to be evacuated after the surgery. The drainage tubes are connected to small plastic collection bulbs that are taped to the side of the neck for convenience. The operation takes about two hours and it is usually completed under general anesthesia as a day surgery procedure.

Postoperative pain is mild and well controlled with oral pain medication. There will be moderate facial swelling, but usually without bruising. A compression garment for the face is worn for the first one week. The surgical drains are removed after 24 to 48 hours during the first check up. No stitch removal is required since the sutures inside the mouth will dissolve on their own. During the first one to two days, a liquid diet is necessary because of the presence of the drain in the mouth. Thereafter, soft food is allowed until the end of the first week, when a normal diet is resumed. During the first one to two weeks, opening the mouth fully may be difficult due to swelling and stiffness of the cheek tissues, but this usually returns to normal by the end of the first month. The downtime is usually about two weeks due to facial swelling. Exercise may be resumed after one month.

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