Will My Cheeks Sag After Cheekbone Reduction?
Q: Dr. Eppley, I am extremely concerned about sagging after cheekbone reduction surgery. The doctor reduced a large amount of my zygoma, about 6 to 8mms. Would this increase my chance of cheek sagging? I had previous buccal fat and facial liposuction. I am worried that I have a higher chance of sagging now. Also, I am 3 weeks after surgery. There is still quite a bit of swelling in my cheeks although a lot of the swelling has gone down. Could you give some rough guidelines as to when the swelling subsides? E.g, 2 to 3 weeks major swelling, 2 months 80% swelling goes down etc.? I greatly appreciate your input. Many thanks!
A: The proper time to asssess the result after any type of facial skeletal surgery, such as cheekbone reduction, is three months. My general guidelines is that 50% of the swelling goes down in 10 days, 70% by 3 weeks, 80% to 90% by 6 weeks and 100% by three months after surgery. Reducing your zygoma width by 6 to 8mms has a high chance of having some cheek sagging afterwards. Done bilaterally that is removing a lot of the cheek tissue support for the middle of the face. But time will tell. No one can say now whether it will or won’t.
Dr. Barry Eppley