Will The Zygomatic Sandwich Osteotomy Create The High Cheekbone Look?
Q: Dr. Eppley, my situation is I had a zygomatic sandwich surgery done and now look like a woman. It gave me way to much projection in the lower part of the cheekbones, I have a revision surgery booked for later this month and I will either reverse 100% the zygomatic sandwich surgery and get a implant at a later date, or I will reverse just 50% of my zygomatic surgery… but I still don’t think it will achieve what I want as I am looking for a very high look with projection on the zygomatic arch back to the ear,
This is why I need to talk to you as soon as possible so you can help me decide if I should reverse 100% and get a implant or reverse the surgery just 50%
I have attached three photos, two photos is where the zygomatic arch was done with filler and had the high cheekbone look and the second is with the zygomatic sandwhich surgery. It gave me a chipmunk look. I want permanent projection like I had with the filler.
A: The question you may be seeking to answer I can answer right now based on your goals and how the zygomatic sandwich osteotomy (ZSO) procedure works…you need to reverse it 100% and get an implant later. The ZSO procedure does not create a high cheekbone look which is what you are seeking and what your previous filler has created. The ZSO pushes out the main zygomatic body laterally but not the zygomatic arch, creating a wider anterior cheek look. While it is an autologous procedure (avoids an implant) it simply can not create the high cheekbone look and trying to do so with it is a structurally flawed concept.
Dr. Barry Eppley