Repeated zygomatic sandwich osteotomy to get high cheekbones?

[Lestat]

1 zso = 7mm diagonal movement for each cheekbone.

Just get 2 or 3 zso`s and you would get high cheekbones.

Would not this work?

What are your thoughts?

[Vic]

1 zso = 7mm diagonal movement for each cheekbone.

Just get 2 or 3 zso`s and you would get high cheekbones.

Would not this work?

What are your thoughts?

What's peoples thoughts on this? I spoke to Dr Z today about my upcoming surgery and he said that he can do the ZSO

[Lord-of-the-Cartilage]

Yes I don't see why not but the problem is that the zygomatic arch would still remain as low as before so I would think that would look very odd. Unless your arch isn't really visible, then it would be ok.

[Vic]

Yes I don't see why not but the problem is that the zygomatic arch would still remain as low as before so I would think that would look very odd. Unless your arch isn't really visible, then it would be ok.

Are there any risks to your vision with this surgery?

[Lefortitude]

it can be done, and yields great results.  however, continual devascularization via disection of the periostium increases risk of bone resorption.

[Lord-of-the-Cartilage]

it can be done, and yields great results.  however, continual devascularization via disection of the periostium increases risk of bone resorption.

Have you seen someone who had multiple ZO's? Only one I saw was photos that Mommaerts showed me, but it was a girl so not high set cheekbones and she had a lot of fat grafting on top.

[diculo]

I highly doubt it yields great results. You would end up with a cheekbone prominence that is potentially 12+mm out of place with the rest of your zygoma structure. The surrounding bone doesn't grow back in-between ZSO's so in effect literally all you are doing is moving that same tiny piece further and further upwards out of position, which will eventually look both odd and have a visible step-off on your face.

The best path to substantially higher, angular cheekbones seems to be:

- Modified lefort 3
- A zygo osteotomy solely focused on elevating the malar prominence

There's still drawbacks I won't bother rambling about but that to me is the best path I have found so far based on my research.

Lefortitude, what are the drawbacks to your best path?

Have you seen someone who had multiple ZO's? Only one I saw was photos that Mommaerts showed me, but it was a girl so not high set cheekbones and she had a lot of fat grafting on top.

LORC, what was her result like? Did it improve her looks? If so, by how many points in looks scale in your opinion?

[Lord-of-the-Cartilage]

Lefortitude, what are the drawbacks to your best path?

LORC, what was her result like? Did it improve her looks? If so, by how many points in looks scale in your opinion?

It was fake looking but quite attractive in a porn star or reality television sort of way

[Lestat]

The surrounding bone doesn't grow back in-between ZSO's

That's nonsense. They use bone from the iliac crest to fill the gap. Or what do you mean?

[Lestat]

No. Iliac crest resorbs as a facial bone onlay.

Yey of course, but not as an inlay. It gets replaced with new bone. New bone will fill the gap and there will be no step-off.

[Lestat]

The step-offs left by the superior movement aren't inlay gaps Lestat.

I'm sorry, but I do not understand what you mean with "step-offs left by the superior movements." There is a gap (see the picture) that gets filled with bone, bio oss or ha.

http://www.google.it/search?q=zygomatic+sandwich+osteotomy+kim+seul&client=ms-android-samsung&site=webhp&prmd=ivn&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjpktfF4YfSAhVL7RQKHSYfBdkQ_AUIBygB&biw=360&bih=500#imgrc=v0PCJ3fBbmRlwM:

[Lestat]

Between the edges of the mobilised piece and the skull.

If you did it 3 times you would have a banana shaped zygo arch, a noticeable step-off and too much lateral width.

Thanks. Yes of course, 3 times is too much and as you have mentioned before, continual devascularization via disection increases the risk of bone resorption.

[Vic]

So I just had a call from Dr Z a minute ago, I spoke to him about the ZSO, he said he has his own method of the cut which no one else does, which provides more projection. I tried to get him to send me a diagram of it but he said he doesn't want to give out any details about it yet as he's in the process of getting it published, so he doesn't want any other surgeon stealing his method. He did say that he can get 10mm of projection and advised that 10mm is a lot anyway. He said using his method he can get the projection high up to show the shadow under the cheekbone.

[Milli_Meters]

Thanks for sharing the info Vic!

[Vic]

He said that the 10mm movement is more than enough to show a big change