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Facial contouring

High-L Cheekbone Reduction Surgery

High-L Cheekbone Reduction is a facial contouring procedure that reduces the width of the face by performing a high-positioned osteotomy. It focuses on repositioning the highest point of the cheekbone to create a slimmer, more balanced facial structure without losing natural dimension.

Who it suits

  • Individuals with wide faces due to prominent front and side cheekbones.
  • Those looking for a slimmer facial profile with a natural 3D effect.
  • Patients concerned about cheek sagging after traditional bone reduction.

Technique highlights

  • High-L Osteotomy: Cutting at a higher point compared to standard L-shaped surgery for maximum width reduction.
  • MMP Point Adjustment: Repositioning the Maximum Most Point (the highest part of the cheek) to create a youthful, contoured look.
  • Minimal Scarring: Performed through incisions inside the mouth and near the sideburns.

Surgical steps

  • Pre-operative analysis using 3D-CT to identify the precise location of nerves and the optimal MMP point.
  • Administration of general anesthesia or deep sedation for patient comfort.
  • High-L incision on the cheekbone to remove a specific portion of the bone.
  • Inward rotation and repositioning of the bone to narrow the facial width while maintaining volume at the front.
  • Secure fixation of the bone using specialized medical pins to ensure stability and proper healing.

Recovery & aftercare

  • First 24 hours: Return home immediately or after a short observation; liquid diet recommended.
  • Days 1-7: Major swelling starts to subside; most patients return to non-strenuous daily routines.
  • Week 2: Stitches are removed; can transition to softer solid foods.
  • 1-3 Months: Residual swelling disappears, and the final facial contour becomes clearly visible.

Risks & things to consider

  • Surgical risks such as bleeding, infection, and inflammation vary by individual health condition.
  • Potential for nerve numbness or temporary sensory changes in the cheek area.
  • Strict adherence to post-operative instructions is necessary to prevent bone non-union or sagging.

Frequently asked questions

How long is the recovery period before I can go back to work?

Usually, the procedure takes 1-2 weeks for initial swelling to subside. You can return to daily activities after 1 week.

When are the stitches removed?

Dissolvable stitches are often used inside the mouth, but any external stitches are typically removed after 2 weeks.

Will my cheeks sag after bone reduction?

While bone is removed, the High-L technique focuses on repositioning the highest point (MMP) to maintain volume while narrowing the face, which helps minimize sagging.

Cases in this area

Before & After gallery
High-L Cheekbone Reduction Surgery — ID Hospital before & afterHigh-L Cheekbone Reduction Surgery — ID Hospital before & afterHigh-L Cheekbone Reduction Surgery — ID Hospital before & afterHigh-L Cheekbone Reduction Surgery — ID Hospital before & afterHigh-L Cheekbone Reduction Surgery — ID Hospital before & afterHigh-L Cheekbone Reduction Surgery — ID Hospital before & after

Case photos show individual results. Outcomes vary with anatomy and aftercare.

Other procedures in this area

Adapted from ID Hospital official material · View source page