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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 3/2023

19-10-2022 | Review

A Systematic Review and Meta-Analysis of Complications among Various Reduction Malarplasty

Authors: Ju Zhang, Hanghang Liu, Yao Liu, Shibo Liu, Ze He, Guizheng Chen, En Luo

Published in: Aesthetic Plastic Surgery | Issue 3/2023

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Abstract

Background

Reduction malarplasty is one of the most common aesthetic procedures to improve a wide bizygomatic width and a prominent zygomatic body. Although there are various kinds of modifications, any method is imperfect, while some complications may occur. The purpose of this review was to compare kinds of complications of reduction malarplasty to provide certain suggestions for clinical application.

Methods

A comprehensive computerized search of scientific literature was performed via the PubMed, Web of Science, and Library of Congress databases, involved in articles from January 1st, 1983 to February 28th, 2022. The outcomes were extracted and analyzed by 3 independent authors, including patient demographics, diagnoses, surgical techniques, postoperative outcomes, and complications.

Results

A total of 29 studies covering 6611 patients were included according to the inclusion and exclusion criteria. The L-shaped osteotomy may obtain a better effect when someone has both zygomatic body and arch protrusion. In the view of complications, our conclusion suggested that L-shaped osteotomy without bony resection reduced the zygomatic complex effectively with the lowest incidence of postoperative complications (0.02%). But the amount of bone resection is limited. If increasing bone resection is necessary, L-shaped osteotomy with long arm bony resection and L-shaped osteotomy with short arm bony resection are both preferable choices with lowest incidence of structural and functional complications, respectively.

Conclusion

L-shaped osteotomy may obtain a better effect when a patient has both zygomatic body and arch protrusion. L-shaped osteotomy without bony resection reduced the zygomatic complex effectively with the lowest incidence of postoperative complications.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Appendix
Available only for authorised users
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Metadata
Title
A Systematic Review and Meta-Analysis of Complications among Various Reduction Malarplasty
Authors
Ju Zhang
Hanghang Liu
Yao Liu
Shibo Liu
Ze He
Guizheng Chen
En Luo
Publication date
19-10-2022
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 3/2023
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-022-03104-1

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