so it seems current best bet is a modified version of the lefort 3 with sinn, wolford, or obwegeser to fix the lateral issue??? and then probably silicone custom implant over the whole zygoma, malar, and infra zone if u need further lateral projection + horizontal. then just sit around and wait for epibone and xilloc .
zso results i saw in person on zarinbals laptop were.. meh. chin wings were quite impressive ill say that, but zso just added like a little bulge, really not life quality / value altering stuff =/ . so implants r gonna be necessary assuming ur issue isnt exclusively recession.
someone told me medpor cant even be used in custom zygo implants.. is this true??? i spoke to someone who had custom silicone ones placed in, 4mm was max projection of the implant, covered entire zygo area, malar, and infra i think, and wrapped around over the whole arch . he told me medpor is a no go when it comes to this, wanted to confirm. i assume titanium is no bueno too? someone in belgium does titanium implants but ive only seen it for mandible and chin. assuming this is all tru then yeah ill probably just suck it up and go full silicone and wait for bone.