Zygomatic Osteotomy

[allsurgeries]

I'm scheduled to get Trimax next year, and my surgeon mentioned that he could perform a zygomatic osteotomy at the same time if I decide to go ahead with it.

I'm considering it, but I'm not looking to increase the width of my face. My goal would simply be to achieve more anterior projection and position the zygomas slightly higher.

Would this also provide better under-eye support?

I'd also appreciate any thoughts or experiences with this type of osteotomy. It seems to be a fairly niche procedure, and I haven't been able to find much information or many patient experiences online.

 

[vzk]

Interesting, never heard of this. I think the first 5 references of this paper are quite interesting.

reference 1:

reference 2:

reference 4:

reference 5:

 

[allsurgeries]

Interesting, never heard of this. I think the first 5 references of this paper are quite interesting.

I DNRed but lemme just dump some of the figures.
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reference 1:
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reference 2:
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reference 4:
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reference 5:
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Thank you for this. It actually ascended some of the examples with death-tier zygos.

That one brown guy looks much worse now, he had prominent zygos already and widened them for some reason.

I'm thinking I should actually get this for the advancement and maybe to make them higher-set (if possible), but I don't know about the widening part, seems like it can easily descend me.

 

[lurking truecel]

Interesting, never heard of this. I think the first 5 references of this paper are quite interesting.

View attachment 5313694View attachment 5313695View attachment 5313697View attachment 5313698View attachment 5313610

reference 1:
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reference 2:
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reference 4:
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reference 5:
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Make humans great again

 

[allsurgeries]

Make humans great again

can I pm you bro? about infraorbital implants

 

[vzk]

That one brown guy looks much worse now, he had prominent zygos already and widened them for some reason.

Nah I think it probably looks better, but angle + haircut reverse-frauding my boy

and maybe to make them higher-set (if possible)

I mean in this post OP stated that it is possible according to Dr Zarrinbal. But I find that kind of hard to believe, since in none of these B&As were the zygos moved upwards by the looks of it.

but I don't know about the widening part, seems like it can easily descend me.

Well for example in reference 2 the lady received advancement without the widening. Although I´m not sure how that was even possible, because the temporal process of the zygo doesn´t get osteotomized in malar valgization osteotomy (MVO) as it was first described by Mommaerts et al. (1995) − which was the technique used in all these B&As.

 

[vzk]

because the temporal process of the zygo doesn´t get osteotomized in malar valgization osteotomy

Meaning that it just fractures partially (greenstick fracture), allowing only for rotational movement.

 

[_Zygomatic_]

i’ve been summoned

 

[allsurgeries]

Nah I think it probably looks better, but angle + haircut reverse-frauding my boy

I mean in this post OP stated that it is possible according to Dr Zarrinbal. But I find that kind of hard to believe, since in none of these B&As were the zygos moved upwards by the looks of it.

Well for example in reference 2 the lady received advancement without the widening. Although I´m not sure how that was even possible, because the temporal process of the zygo doesn´t get osteotomized in malar valgization osteotomy (MVO) as it was first described by Mommaerts et al. (1995) − which was the technique used in all these B&As.

Meaning that it just fractures partially (greenstick fracture), allowing only for rotational movement.

Thanks for sharing all of this, really informative and helpful. I appreciate the detail and context you provided.

So, you think it's a good osteotomy? Some of the results you sent were pretty good, however they were mostly on people with non-existent zygos. Mine are already pretty decent. I guess it could ensure the harmonization of the trimax.

 

[Dr_M]

I'm scheduled to get Trimax next year, and my surgeon mentioned that he could perform a zygomatic osteotomy at the same time if I decide to go ahead with it.

I'm considering it, but I'm not looking to increase the width of my face. My goal would simply be to achieve more anterior projection and position the zygomas slightly higher.

Would this also provide better under-eye support?

I'd also appreciate any thoughts or experiences with this type of osteotomy. It seems to be a fairly niche procedure, and I haven't been able to find much information or many patient experiences online.

I wanna do the same but I haven't had the chance to ask my surgeon about it. I do know that he offers zygomatic osteotomies though and as far as I can tell it's better than implants or fat grafting.

 

[allsurgeries]

I wanna do the same but I haven't had the chance to ask my surgeon about it. I do know that he offers zygomatic osteotomies though and as far as I can tell it's better than implants or fat grafting.

whos your surgeon?

 

[Dr_M]

whos your surgeon?

Probably at Charité Berlin. Who's yours?

 

[basta03]

Probably Dr. Bigus at Charité Berlin. Who's yours?

Wird deine OP von der Versicherung bezahlt? Habe auch bald eine Beratung bei ihm

 

[Dr_M]

Wird deine OP von der Versicherung bezahlt? Habe auch bald eine Beratung bei ihm

Bin privat versichert und die habens irgendwie sofort übernommen. Hatte gar keine Probleme damit. Keine Ahnung, wie die GKVs das handhaben, wenn du da versichert bist. Aber wenn der Grad der Dysgnathie groß genug ist, sollte das schon gehen, denke ich.

 

[basta03]

Bin privat versichert und die habens irgendwie sofort übernommen. Hatte gar keine Probleme damit. Keine Ahnung, wie die GKVs das handhaben, wenn du da versichert bist. Aber wenn der Grad der Dysgnathie groß genug ist, sollte das schon gehen, denke ich.

ok easy ja ich bin gesetzlich krankenversichert. Beim Kieferorthopäden meinten die dass die Krankenkasse die OP wahrscheinlich übernimmt, weil ich einen Überbiss von 6 mm habe, ist glaube genau die Grenze für Übernahme.
Mal gucken

 

[Dr_M]

ok easy ja ich bin gesetzlich krankenversichert. Beim Kieferorthopäden meinten die dass die Krankenkasse die OP wahrscheinlich übernimmt, weil ich einen Überbiss von 6 mm habe, ist glaube genau die Grenze für Übernahme.
Mal gucken

Ah okay, ja dann wird das sicher durchgehen. Schreib mir mal, würd deine Erfahrung interessieren mit Konsultation usw.

 

[basta03]

Ah okay, ja dann wird das sicher durchgehen. Schreib mir mal, würd deine Erfahrung interessieren mit Konsultation usw.

Bruder kann dir irgendwie nicht schreiben, ka warum. Hab mich erst letztens registriert vielleicht liegts daran