Facial contouring

Cheekbone reduction with a high L-osteotomy

GLAM performs the L-osteotomy higher and more medially than the conventional line so that the para-orbital and 45° cheekbone are genuinely reduced at the first operation.

Who it suits

A prominent 45° cheekbone and a face that photographs wide
Patients whose previous cheekbone surgery showed little change

Technique highlights

A higher, more medial cut removes more bone than a conventional L-osteotomy
Backed by the paper Advantages of a Beveled Osteotomy on the Zygomatic Arch During Reduction Malarplasty
Aims to remove the main cause of revision: an unreduced 45° projection

Surgical steps

Plan the osteotomy on CT, checking the 45° angle and para-orbital body
Cut an L-shaped osteotomy high and medially
Move the segment inward to bone contact and fix it securely

Recovery & aftercare

Sub-mental muscle plication, deep-cheek fat removal and fascial suspension limit sagging
Oligio X radiofrequency lifting is added when needed

Risks & things to consider

Cheekbone reduction should be definitive at the first operation; revision is harder
As bone volume falls soft tissue is relatively excess, so zero sagging cannot be promised

Frequently asked questions

Why does the face sometimes look unchanged after cheekbone surgery?

GLAM's stated reason is an osteotomy that sits too low or too lateral, leaving the 45° cheekbone — the part visible in photographs — essentially unreduced.