Midlife Facial Contouring Surgery: Achieving Harmony with Zygoma Reduction and Facelift Procedures
- 박종철의사
- Nov 24, 2024
- 3 min read
Hello,I’m Dr. Jongchul Park, a board-certified oral and maxillofacial surgeon.
In recent years, interest in facial contouring surgery has been rising not only among individuals in their 40s and 50s but also in older age groups. Once considered a procedure predominantly for the younger population, facial contouring is now recognized as a way for middle-aged individuals to regain youthfulness and vitality.
However, facial contouring surgery in midlife requires a different approach compared to younger patients. It involves not just reshaping the bones but also addressing age-related changes, such as reduced skin elasticity, altered fat distribution, and muscle condition.
Today, I’ll share a real case of a combined zygoma reduction surgery and facelift to illustrate the unique aspects, precautions, and results of midlife facial contouring surgery.
Why Midlife Facial Contouring Differs from Procedures for Younger Patients
1. Bone Density Considerations
Bone density often decreases in middle-aged patients, leading to osteoporosis, which can significantly impact surgical outcomes. In zygomatic reduction surgery, severe osteoporosis may delay bone healing or result in nonunion.To ensure safe and effective surgery, preoperative bone density tests are essential to accurately assess the condition of the bones.

2. Reduced Skin Elasticity
After the age of 40, declining skin elasticity often leads to sagging cheeks and hollowing of facial features.Simply performing zygoma reduction surgery may accentuate these issues, making the face appear more hollow. Therefore, combining it with a facelift to lift sagging skin and improve elasticity is crucial for optimal results.

3. Different Surgical Goals
Younger patients often seek dramatic facial reshaping, while midlife patients prioritize natural, harmonious rejuvenation and overall facial balance.Surgical plans should emphasize subtlety and individualization, avoiding overly aggressive changes.
Zygoma Reduction and Facelift: Simultaneous or Staged?
Zygoma reduction surgery reduces protruding cheekbones, creating a softer appearance and a smaller facial profile.
Facelift surgery lifts sagging skin and soft tissue, enhancing facial contours and restoring youthful elasticity.
When performed together, these procedures improve both skeletal structure and soft tissue, resulting in a more balanced and natural rejuvenation.
What Happens Without Zygoma Reduction?
If a facelift is performed without addressing prominent cheekbones:
Zygomatic prominence may become exaggerated.
Facelifts pull skin and soft tissue upward and backward, which can reduce facial volume and tighten the skin. This may make cheekbones appear more pronounced.
Advantages of Staged Procedures
Reduced physical strain by addressing one issue at a time.
Ability to evaluate the results of each procedure before planning the next step.
Staged procedures may be suitable for patients who prefer to carefully assess the effects of each surgery..
Case Study
A woman in her mid-50s underwent a combined zygoma reduction surgery and facelift:

Preoperative Concerns:
Prominent 45-degree and lateral cheekbones created a wide, aged appearance.
Sagging skin contributed to deep nasolabial folds and marionette lines.
Surgical Results:
Zygoma reduction surgery reduced facial width and smoothed the contour of her cheekbones, enhancing her facial symmetry.
Facelift surgery restored skin elasticity, significantly reducing nasolabial folds and marionette lines.
The combined approach resulted in a firmer, more youthful appearance with enhanced facial harmony.

Conclusion
Facial contouring surgery for middle-aged patients offers more than just aesthetic improvements—it can help restore confidence and improve quality of life.Combining zygoma reduction with a facelift can deliver natural and satisfying outcomes, making it an excellent choice for achieving a youthful and vibrant look.
If you’re considering midlife facial contouring surgery and would like more information, feel free to contact us. Let’s work together to create a brighter, more confident future for you!
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