Had a zygomatic osteotomy ... lack of projection

[ITALIA]

Swelling can be a blessing and a curse.  It can make things look really nice but it tricks you, and gives you false expectations. If the swelling is anything like what you get from SG it could take 6-12 months to resolve. 

Did you discuss with your surgeon what sort of look you wanted? It could be best to wait 6 months before making a decision, no point in stressing out about it. You need to have a cold calculated outlook to make a good decision.

[Lazlo]

Okay I'm taking control of this discussion.

1) First, ZSO: means Zygomatic Sandwich Osteotomy, correct?  (who are the docs who do this and who on this board has had it done?)

2) What's ZSSO then: Zygomatic Saggital Split Osteotomy (is this any different? again who are the docs who has had this done)


3) Orbital rim & Zygomatic osteotomy --so far Sinn is the only one we know who does this, who has had it done!!??? Earl only. This is of course A) different from the above in that it takes the orbital rim as well. Can it also position the orbital rim (in my case which is quite low) higher up, so the cheekbones begin higher up as well? It provides upto 8mm projection, we know that, and supposedly earl's upper cheeks and under eye area are fuller. Does this supply all of the benefits of the ZSO as well?

Osteotomy, please indicate who your surgeon was so that we may have a productive discussion and sharing of information here.

[Lazlo]

Slightly off-topic but i want an answer to this.

Someone, I think 27f, posted a link of a video of a doc doing fillers straight to the cheekbone. Could you please repost that video please. I found it very instructive and I want to remember what filler that was and who the doctor was. If anyone remembers which thread it was on please repost it here. Thanks chumbawambas.

[osteotomy]

yes, zso= zygomatic sandwich osteotomy

Some of the conclusions in this topic pretty much sum it up: the shape of your own cheekbone is going to determine the result of your zso. If you have a poorly defined midface as Baldguy described, you won't end up with strong, high and defined cheekbones. 27F said that well too. If your own cheekbones don't have a sharp angle, you won't end up with angled cheekbones after a zso. Another poster here that had a zso confirmed that too, writing about her experience.

I did discuss in each consult that I was hoping to get prominent angles with strong projection at and laterally from the malar prominence. That it is impossible to get prominent angled cheekbones through a zso when you have poorly defined cheekbones yourself, was not discussed in the consult.

[Lazlo]

hmmm you should find out and share here your surgical notes like how many mm projection was achieved etc. and maybe your before and after x-rays too.

What are you gonna do? HA paste or maybe fillers? Fillers seem to achieve results but it looks odd.

[Rico]

I hope my surgeon will avoid that by doing CAS