Tanongsak Panyawirunroj
Asia Cosmetic Hospital Co., Ltd., Thailand
Title: Minimal invasive TANONGSAK technique for reduction malarplasty
Biography
Biography: Tanongsak Panyawirunroj
Abstract
Background: Southeast Asian women prefer oval shape facial contour. To achieve this goal, there are a lot of procedures tornreshape the facial skeleton. Reduction malarplasty is a common operation. Although multiple techniques have been developedrnfor reduction malarplasty, this study presents a new less invasive TANONGSAK technique for reduction malarplasty.rnMethods: Between January 2015 and December 2015, we applied TANONGSAK technique for reduction malarplasty in 38rnpatients. TANONGSAK technique was performed osteotomy site at zygomatic arch with 12 mm in length preauricular incisionrnand at Zygomatic body with 25 mm in length intraoral incision by a reciprocating saw. Out site-in Closed reduction wasrnperformed to reposition of malar bone complex. Internal fixation was not required.rnResults: The patients were followed up for 5 to 183 days postoperatively (mean 39 days). 94% of patients (36 patients) hadrnsatisfactory aesthetic results. The facial contour reduction was accomplished 0.1%-13.79% (mean 2.46%) in size reduction.rnThe operative time in each case was less than 60 minutes. The mean hospital stay was 1.1 day (1-2 day) and patients requiredrnrecovery period 2-14 days (mean 8.7 days) .2 of patients developed temporary inferior orbital nerve injury. No facial nerverninjury and no any other postoperative complications.rnConclusion: Minimal invasive TANONGSAK reduction malarplasty is a preferable technique. This technique providesrnmultiple advantages, including simple manipulation, less invasive, short incision, no internal fixation, good stability, achievedrnaesthetic results, short operative and recovery time, and less complications.