Comments on “Reduction malarplasty combined with facelift via the prezygomatic space”

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Arch Aesthetic Plast Surg. 2021;27(2):80-80
Publication date (electronic) : 2021 April 28
doi :
Department of Plastic Surgery, Inha University College of Medicine, Incheon, Korea
Correspondence: Kun Hwang Department of Plastic Surgery, Inha University College of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332, Korea Tel: +82-32-890-3514, Fax: +82-32-890-2918, E-mail:
Received 2021 March 4; Accepted 2021 March 11.

These comments refer to a paper recently published in Arch Aesthetic Plast Surg (Lee et al. Reduction malarplasty combined with facelift via the prezygomatic space) [1].

The procedures can be summarized as follows: an incision followed the temporal hairline, tragal margin, and occipital hairline. A skin flap was elevated and subcutaneous dissection was performed above the zygomatic arch of the lateral orbital area. A vertical incision was made along the superficial musculoaponeurotic system (SMAS) 1 cm anterior to the preauricular skin incision, followed by SMAS dissection. The main zygomatic and upper masseteric retaining ligaments were carefully released. Next, the prezygomatic space between the orbicularis oculi and the zygomaticus muscles was approached. A vertical incision of approximately 2 cm was made from the right side of the orbicularis retaining ligaments and the zygomaticofacial nerve to the origin of the zygomaticus muscles on the preperiosteal fat. A subperiosteal flap was elevated and the zygomatic body was exposed. Osteotomy was then performed. A preauricular incision (1.5 cm) was made and bony Z-plasty was done and fixed using a two-hole miniplate. The SMAS flap and cheek skin flap were redraped.

The authors performed 16 facial contouring procedures using the facelift approach. However, this procedure is very similar to that described in a recent paper that the authors did not cite, wherein 55 patients were operated using almost the same method [2].

I could not find any difference between the procedures described in these two papers except an additional intraoral incision [2]. Thereafter, it is thought that our readers would like to know the difference between their technique [1] and the previous one [2].


Kun Hwang is an editorial board member of the journal but did not involve in the peer reviewer selection, evaluation, or decision process of this article. No other potential conflicts of interest relevant to this article were reported.


1. Lee YJ, Lee IS, Yang HJ. Reduction malarplasty combined with facelift via the prezygomatic space. Arch Aesthetic Plast Surg 2020;26:138–43.
2. Zhou J, Qi Z, Jin X. Simultaneous surgery for contouring the prominent zygoma and mandibular angles with facelift in middle-aged patients. J Craniofac Surg 2020;31:448–52.

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