Objective: To improve the technique of prominent malar complex reduction.
Methods: The improvements of the operation procedure included double-oblique osteotomy of the prominent malar complex, accessorial tiny preauricular incision and the way that the complex was moved upward, inward or posteriorly. The zygomatic body was fixed with microplate screw or steelwire. The jugal soft tissue was lifted to prevent facial slack. The method was used in 17 cases from June 2000 to April 2004.
Results: Postoperative follow up for 4 approximately 24 months showed satisfactory result in all the cases.
Conclusions: This modified method resolved some problems in reduction malarplasty through an intraoral approach.