How Can I Tighten Loose Facial Skin After A Zygomatic Arch Reduction?

Q: Dr. Eppley, A few years ago I had a zygomatic arch reduction. Part of the zygomatic arch in front of the ear was removed so that I no longer had such a wide face when seen from the front. But although the bone mass was reduced, the facial skin in that area (just in front of the ear) did not retract, so this operation had almost no effect. The facial skin in this area is very, very saggy and also very thick. Would it be possible to tighten this skin?

A: While a deep plane facelift approach could be used to treat the excess facial skin the scar tradeoffs and hairline displacement that would result in a male would be a dubious aesthetic tradeoff.

Dr. Barry Eppley

Indianapolis, Indiana