High zygomatic bone zygomatic arch deformity Women with high zygomatic bones were known as having a husband-hunting face in the feudal society, although this statement does not have any scientific basis. However, high zygomatic bones do lead to an unattractive face shape, which makes women lack of grace and men look fierce, not easy to make a good impression on people. Zygomatic bone is a conical bone structure, can be divided into “zygomatic body” and “zygomatic arch” two parts, they decided two important visual angle, affecting the beauty of the face, the zygomatic body is in the most front of the face against the outside, when the 45-degree angle of view direction to look at the face, the zygomatic body curvature determines the beauty of the face line. If the zygomatic body is too developed, the curvature of the zygomatic body is too large, which destroys the aesthetic sense and creates the impression of a strong personality that is not soft enough. The zygomatic arch extends backward from the zygomatic body to the temporal bone. From the front view, the widest part of the face is in the zygomatic arch and it is close to the front of the ear, so the best way to narrow the width of the face is to change the position of the zygomatic arch. Causes of high zygomatic bone: 1, congenital developmental deformity. Its external appearance mainly manifests itself as two types of zygomatic bone parts with hypertrophy and high protrusion or low flatness. The phenomenon of zygomatic bone hypertrophy deformity is more common in people. It can be unilateral or bilateral, with bilateral being the most common. Bilateral people are not completely symmetrical, sometimes one side is slightly higher than the other. Low zygomatic bone deformity is common among westerners, which is manifested as the zygomatic bone area is not full enough, and the upper part of the outer zygomatic contour line disappears. This kind of patients can often appear zygomatic depression, nasolabial groove and skin wrinkles deepen, the above symptoms of the elderly more obvious. 2.Deformity caused by disease. Such as zygomatic bone or adjacent tissue inflammation, tumor and other diseases can cause zygomatic facial defects and deformities, and serious cases can be obviously disfigured. This kind of deformity should be repaired immediately or later plastic surgery to restore the zygomatic facial shape. 3.Traumatic deformity of zygomatic bone or zygomatic arch. This kind of deformity can be different due to the type of fracture, degree of injury, severity of injury and whether it is combined with the surrounding soft tissue injury at the same time. The deformity can be corrected by correctly repositioning the zygomatic bone or zygomatic arch. Oriental people have always regarded the soft curves of the face as beautiful, and if the zygomatic bone is too prominent, it will disrupt the harmony of the entire facial contour. The overly prominent cheekbones will also make the temples and cheeks look sunken, making the whole face shape hexagonal or inverted pentagonal, which makes the face a Chinese character face or too much angularity, which makes the face look very masculine. This condition can only be improved by zygomatic bone reshaping. Zygomatic bone reduction surgery is performed by coronal scalp incision, intraoral buccal sulcus incision, intraoral incision combined with coronal scalp incision or small incision in front of the ear, and it is mainly to realize zygomatic arch reduction through zygomatic osteotomy and displacement, zygomatic convexity smoothing, and zygomatic maxillary bone osteotomy in 3 places. Surgical Methods: First, Posterior Internal Fracture of Zygomatic Bone Surgery Operation Method: Reduce the volume of zygomatic protrusion appropriately by grinding the bone, but keep it in the original position; make a small opening in front of the ear, break the zygomatic arch and fold it inward. Suitable face shape: Wide face with some depression at the temples. Advantages of the surgery: the position of the zygomatic arch can be changed, and the zygomatic protrusion is also adjusted appropriately, which can make the face shape significantly narrower. Difficulties of surgery: the technique is more complicated and there are two wounds in the mouth and in front of the ears. Second, zygomatic bone anterior internal fracture surgery Operation method: cut the zygomatic protuberance, remove a small section of the bone to be reduced, then fold the remaining zygomatic protuberance inward and fix it with a bone nail, while the zygomatic arch part is completely retained in its original state. Suitable face shape: The face is not too wide, but the frontal part of the face is prominent. Advantages of the surgery: It is performed completely inside the mouth, with no external wounds. Difficulties: Since the zygomatic arch is not changed, the extent of zygomatic protrusion reduction is limited. Third, zygomatic bone reduction surgery Operation method: interrupt both zygomatic prominence and zygomatic arch, and remove part of the bone to be reduced, and the whole zygomatic bone is moved inward and reorganized. Suitable face shape: wide and prominent face shape in both front and side. Advantages of the surgery: This is the most mainstream practice at present, with a large reduction of the cheeks and obvious visual effects; it can be performed entirely in the oral cavity, reducing the number of wounds. Difficulties of surgery: the technique is quite complex and requires an experienced physician to complete it safely. What are the precautions for zygomatic bone reshaping: 1. Try to avoid water on the surgery site within 15 days after zygomatic bone reshaping; 2. Ensure that the surgery site is clean to prevent infection. If there is blood crust or secretion on the wound, use sterile saline to wipe it; 3. After zygomatic osteoplasty surgery, you can put pressure on the local wound and bandage it or use ice packs to apply cold compresses, but the pressure should not be big so as to avoid damaging the surgical site. Once bleeding and serious hematoma occurs after surgery, you should go to the hospital in time for follow-up; 4. After zygomatic osteoplasty, you should have a quiet and comfortable environment to recuperate. Avoid weight-bearing, which will increase the swelling of the wound; 5. After zygomatic osteoplasty, the wound will have some pain, but it will be gradually reduced with the passage of time. Patients should not eat painkillers in a hurry, because aspirin drugs will aggravate the bleeding of the wound; 6, avoid eating stimulating foods such as chili peppers, etc.; 7, strictly comply with the doctor’s instructions to take medication and follow-up.