The cheekbones are the main support structure in the middle of the face and have an important impact on the facial contour and appearance of a person. The middle part of the face is influenced by the cheekbones. If the cheekbones are too high for a person with a small nose and wide face, the nose will look smaller and the face will look bigger and flatter. If the cheekbones protrude properly, it will give people a vibrant feeling, but if the cheekbones are too high, not only is the whole face unattractive, but it also gives people a fierce and rough feeling, which is a major flaw especially for women. In recent years, more and more patients are requesting cheekbone surgery. There are two main concepts of zygomatic bone reduction: one is simple chiseling to reduce the outer contour of the cheekbone; the other is three-dimensional osteotomy to achieve a reduction of the cheekbone by shortening and moving the bone block. Zygomatic chiseling is generally suitable for patients with prominent anterolateral facial features. It is often performed by using an intraoral incision to expose the zygomatic bone under the periosteum and applying special instruments to chisel away and thin the part of the zygomatic bone that is designed to be removed before surgery, thereby reducing the external contour of the face and improving the facial shape. The biggest advantage of this surgery is that it leaves no scars after the surgery, and is seamless and unmarked. In contrast, zygomatic 3D osteotomy is considerably more difficult to perform and is suitable for patients with prominent zygomatic arches. In addition to the intraoral incision, an auxiliary incision is usually made in a hidden area within the hairline, or a single coronal incision is made within the scalp. After the entire zygomatic bone is exposed by subperiosteal separation, a specific size bone block is amputated according to the needs of the computerized 3D simulation design, and then the separated bone block is reattached and reshaped using special materials such as titanium nails, so that the entire facial contour and shape can be changed to the maximum, even allowing the patient to achieve This allows for maximum change in the entire facial contour and shape, and even allows the patient to achieve a “transformed” effect. In addition to zygoma reduction, for a small number of patients with localized depression in the middle of the face due to congenital or acquired diseases and other causes of zygomatic bone dysplasia or defects, or bilateral zygomatic asymmetry, all can be treated by zygoma augmentation with autologous tissue transplantation or prosthetic material filling the zygomatic region to improve the appearance. However, it is worth noting that, just like other plastic surgery procedures, zygomatic osteoplasty is also subject to certain complications, as there are sinuses in the cheekbones and facial nerves in the superficial areas. Of course, the aesthetic point of view of the physician is also an important factor in the patient’s decision to choose.