Is Posterior Zygomatic Arch Reduction Safe?

Q: Dr. Eppley, we went over this possible procedure during our last consult few months ago, I have attached pictures. The area I’m pointing at is by might right sideburn right by where the hairline meets with the beard line. I would prefer for that not to protrude as much as it widens my face and becomes noticeable with certain angles. 

I wanted to hear your opinion because this seemed simple to me at first, specially since we would be talking about maybe 1 to 1.5mm of shaving; but after more research I know that there are some important nerves around that area and I wouldn’t want the risks to outweigh the reward.

A: You are referring to a reduction of the right posterior zygomatic arch area. That is an area that is commonly accessed in cheekbone reduction surgery for the posterior zygomatic arch osteotomy. You are correct in that the frontal branch of the facial nerve is closeby but it has never been a problem in my experience as techniques are used to avoid it.

Dr. Barry Eppley

Indianapolis, Indiana