title: [Anatomic reduction of midfacial sag after intraoral reduction malarplasty].
abstract: OBJECTIVE
  To study the technical refinements of intraoral reduction malarplasty to prevent postoperative drooping of the cheek.
  
  
  METHODS
  Twenty-four patients with prominent zygomatic complex underwent reduction malarplasty from January 2005 to January 2006. In all these cases, the osteotomized malar complex was repositioned superioposteriorly, and the perioral muscles and periosteum were redraped accordingly and fixed on deep temporal fascia.
  
  
  RESULTS
  Symmetry between the left and right complexer were achieved, with a decreased midfacial width of 10.22-/+1.97 mm. During postoperative follow-up of 4 to 6 months, all the patients had satisfactory operative results, and reported no postoperative drooping of cheek.
  
  
  CONCLUSIONS
  This method of superioposterior reduction of the perioral muscles and periosteum is simple and effective, but the long-term result needs to be observed.
authors.affiliation: Department of Plastic and Cosmetic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Shan
authors.forename: Da-lie
authors.initials: DL
authors.lastname: Liu
authors.forename: Qiang
authors.initials: Q
authors.lastname: Yuan
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008334:Mandible / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D015050:Zygoma / Q000601:surgery*