The main distinctive feature of this paper is that reduction malarplasty was done through the facelift incision alone. In general, reduction malarplasty is performed via an intraoral approach. However, when we performed surgery using the facelift technique, the prezygomatic space was accessible, allowing us to adequately perform reduction malarplasty.

As mentioned by the commenter, the procedure may seem similar to the method described in a recent paper [2]. However, the author of the previous paper [2] performed malar reduction through an oral incision, and then an additional skin incision was made for the facelift. Our procedure is different in that reduction malarplasty can be performed simultaneously with the facelift via the same incision. This method can reduce the oral infection rate and discomfort of the patient.

In conclusion, our study showed that bony contouring can be done in an efficient way while performing a facelift.