Would My Appearance Be Helped With A Malar Expansion Osteotomy?

Q: Dr. Eppley, Zygomatic/Malar Osteotomy may be beneficial to my appearance. I have attached a photo of myself when I was very young (around 20 years old) it shows my facial bone structure better then my more recent photo from a couple years ago (im 33 now). Maybe Zygomatic/Malar Osteotomy would be more beneficial than seeking out Orthognathic surgery from another surgeon. What do you think?

A:The malar expansion osteotomy (aka zygomatic sandwich osteotomy) can be an effective procedure for specific cheek dimensional issues. It is intended to widen the cheek bone (zygomatic body-anterior arch) but it will not give it forward projection. At least based on your two attached pictures you do exhibit zygomatic body narrowing. (see attached picture with arrows)

Dr. Barry Eppley

World-Renowned Plastic Surgeon