Sagging from Cheekbone surgery? Types of Sagging? Risks? IRL examples

[sassygrl]

you guys make me scared to do zygoma ! i already put a deposit down for zygoma and vline but now i might only get vline. Anyone have experience doing FG around your cheekbones/temples instead?

 

[chinnie]

SassyGrl said: ↑

you guys make me scared to do zygoma ! i already put a deposit down for zygoma and vline but now i might only get vline. Anyone have experience doing FG around your cheekbones/temples instead?

Click to expand...

Temples are awesome place for fillers as well as midface. If your cheekbones are wide you might avoid the lateral prominence of your cheeks but fill around it. I have had hyaluronic acid fillers in these areas a few times they looked great so I wanna try a fat graft next

 

[missorange]

A must view YouTube clip if you are considering mandibular jaw reduction and you are communicating through a korean language interpreter and relying on the translator to translate how much bone to trim. If the surgeon cuts too much, this is what you may need to get it fixed!

 

[missorange]

Chinnie said: ↑

Temples are awesome place for fillers as well as midface. If your cheekbones are wide you might avoid the lateral prominence of your cheeks but fill around it. I have had hyaluronic acid fillers in these areas a few times they looked great so I wanna try a fat graft next

Click to expand...

I agree @Chinnie. I had sunken temples which accentuated my wide cheeks but one round of fg to the temples and the cheeks don't stick out sideways. Fat graft means no more fillers! Fat grafting is like remodelling the face like a clay model.

 

[sassygrl]

Chinnie said: ↑

Temples are awesome place for fillers as well as midface. If your cheekbones are wide you might avoid the lateral prominence of your cheeks but fill around it. I have had hyaluronic acid fillers in these areas a few times they looked great so I wanna try a fat graft next

Click to expand...

Thanks for the advice! How long did your fillers last? And did you get in Korea?

 

[fortunecat]

SassyGrl said: ↑

you guys make me scared to do zygoma ! i already put a deposit down for zygoma and vline but now i might only get vline. Anyone have experience doing FG around your cheekbones/temples instead?

Click to expand...

Is it worth doing zygoma reduction in the 1st place? I have no idea. Almost all of those who did zygoma reduction, experience face sagging after their swelling subsides after a year. So, it just seems to me that you get rid of 1 "eyesore" but got another "eyesore" in return.
When we talk about fat grafts, it sets me thinking. In order for the far grafts to stay in place, shouldn't there be a supporting structure e.g. bone to prevent it from drooping down due to gravity? If more fats are injected, we might be creating a bigger space between the bone and face. When the fats disappear, the face sags even more.
Hmm...

 

[madambutterfly89]

Fortunecat said: ↑

Is it worth doing zygoma reduction in the 1st place? I have no idea. Almost all of those who did zygoma reduction, experience face sagging after their swelling subsides after a year. So, it just seems to me that you get rid of 1 "eyesore" but got another "eyesore" in return.
When we talk about fat grafts, it sets me thinking. In order for the far grafts to stay in place, shouldn't there be a supporting structure e.g. bone to prevent it from drooping down due to gravity? If more fats are injected, we might be creating a bigger space between the bone and face. When the fats disappear, the face sags even more.
Hmm...

Click to expand...

This is true. I consulted surgeon in asia. He told I am not a candidate for fg--due to lack of structure it'll make the sagging worst

 

[yumigumi]

Would you still experience sagging with a 3d cheekbone rotation/lifting reduction?

 

[dyn582]

Hi @touni27 thanks for all the research.

In your research, did you come across any surgeons or clinics with higher rates of satisfaction / lower rates of sagging?

I am thinking of doing zygoma reduction, chin reduction, and a lower facelift all at the same time. Thanks again for all your help to this community.

 

[lia_heart]

touni27 said: ↑

Hey guys,

I've been researching.... A LOT like endlessly with cheekbone sagging because it's the most "common" complication after cheekbone surgery. IM NOT A DOCTOR BUT IM AN ENTHUSIAST. so i've read a lot but take my writing with a grain of salt.

ALSO my english might be a little bit weird atm because i've read soooooo many korean posts that I find my grammar flipping sometimes @ _ @.

I decided to make a post to share some knowledge about sagging from cheekbone reduction.

First things first: There is always a chance of sagging with FC. But whether or not it's noticeable, or fixable depends on you and the doctor.

Second, wanted to point out that there's a difference between cheek sagging with the skin (comes from aging, skin wasn't very elastic, or because it's loose aka you cut too much bone off) and what looks like cheek sagging because of fat distribution/ non union of bone/ muscle tissue weakness.
Here are some IRL examples of what these ladies considered as cheek sagging from their cheekbone reduction surgery:

These pictures I pulled from IRL reviews in Gangnam Sister (an app like babitalk) (if anyone wants to know where they got their PS from DM me)

Before I get into my.. ESSAY I just wanna get these questions out of the way.

Can your skin stick back to your bone after it's been cut?
The answer is a soft kind of. The underlying tissues are built to be able to reintegrate. So yes they will reattach to your bone. In the case with tendons being cut it they do heal. But they tend to heal slower and become weaker in quality.
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241426/)

Do you constantly have to get facelift after the Zygoma surgery or can you just get it once?
(after researching about facelifts, and zygoma surgery and how it affects your tissues this is my answer, take it with a grain of salt)
If you cut too much and got loose skin, you can get a facelift with a good effect. And you will age normally like everyone else after that. How fast you age will depend on your skin elasticity not necessarily from your cheekbone surgery. But remember you can have tissue sagging which is different from your skin sagging, and tissue sagging can definitley be from cheekbone surgery, this will be explained down the line.


"SAGGING" FROM FAT

This is a year post op and she considered this as facial sagging because you can see slight bulge of Nasabloid fold there. This is actually not skin sagging but rather left over fat in her nasbloid fold and around her face.
View attachment 4207618
She and i have been messaging and she is going to get lipo not a facelift to rid of that illusion of "sagging". I wanna follow up with her and see how that goes.


SWOLLEN SAGGING

This is a before photo:
View attachment 4207619

This is AFTER photo. Two weeks post op:
She wrote in her review she's worried about her skin sagging because of how it looked, she knew it was going to sag because she lack elasticity in her face. She wanted to get lifting once her swelling went down.
View attachment 4207620

most of this sagging look she says is from her being swollen. This is what she looks like a month post op:
View attachment 4207622
It's a little better but it's not fully gone yet.
And then in three months:
View attachment 4207627

Hard to tell cuz she's so far away but she wrote in the review that she's happy with her result and that she didn't notice facial sag at the end. (I took it with a grain of salt though because there were no close up shots but it defintiley looked a lot better)

SKIN SAGGING:
This is an example of a 40 year old woman getting FC..
She has had multiple acounts of ultra lifting prior to FC surgery.
The far left is the before picture, The middle is skin sagging from FC a year post op, and the far right photo is after Facial lift.
View attachment 4207709



The doctor notes that no matter how much he pulls the skin it's impossible to get rid of your nasal fold completely like she was in her twenties.

Notice also guys, the jaw tends to look more square when you push in the cheekbone too much. she looked like she had a slimmer jaw before her FC IMO.

Sagging from damaging muscles/ tissues

This one is a really big deal. I haven't been able to find IRL examples of this because it's hard for me to pinpoint and be like SHE HAS SAGGING BECAUSE OF THIS. Even doctors can't sometimes tell what the sagging is caused by let alone me judging from photos lol. All the examples I provided I went off by their personal review and their experience after talking to their doctor. Or the doctor himself.

Sagging from Poor surgery is pretty irreversible when it comes to tissue damage.

View attachment 4207598

See those muscles right there? That's your zygomaticus muscles. And see where they are located? They pull up your face. If those muscles get damaged, that's when you get real trouble cheeksagging and pretty much irreversible (but i might be wrong, i haven't come across a procedure that provides solution though). Because those muscles are responsible for holding your face up (pretty much) when these muscles get weaker, these muscles, the fat, tissues they all start to fall, and you end up with a look that looks like:
View attachment 4207595

Your nasolabial fold will start to look prominent and kind of swollen. these muscles according to the doctor
( from this youtube video: (it's in korean, not sure if there's subtitles i didn't check))
will always get weaker after cheakbone surgery, or the distance will get shorter since your cheekbones have been pushed in. A shorter distance causes a looser muscle. Hence things can start to falllll.....

Sagging from nonunion
It's when the cheekbones don't get properly braced with the "pins"
I will continue this one lol next post.

As of now we have Three very common cheekbone procedures.

1) making an L shape cut, pushing, and then bracing it with metal. This one is the most common procedure done because it avoids those muscles.
2) Shaving: Notice how the zygomaticus muscles are attached underneath the bone. They shave the cheekbone above the muscles.
3. QUICK zygomaticus surgery: They break/ fracture at the outer cheekbone (close to the ear) and they push in. You get to fix your side cheekbones but not the 45 degree. It's hard for me to explain this procedure with words, i wish i can draw it.

These procedure all avoid the muscles, so in theory when done right risk to sagging should be minimal.
BUT if you cut too much for sure you will have a greater chance of sagging for obvious reasons.

When doing your consultation ASK YOUR DOCTOR about the cheekbone muscles and how they will avoid it. Ask them about the surrounding fat as well. Ask them how your skin elasticity is.

Some doctors get as detailed in consultation as touching your face and feeling your skin, and finding where exactly the fats are located. I think this is really important because along with CT scans and relaying information this will give additional info on how your face is built.


Take all this with a grain of salt. I am no expert just wanted to share my knowledge cuz i researched A LOT. and wanted to share ^^

From hundreds before/afters i've seen. I've seen more good results then bad ones but ive read a lot of people complaining about cheek sagging. Although after examining some of the photos of the people saying they had bad sagging i felt like the person didn't actually have cheek sagging....But it is hard to sometimes tell from photos. But i also believe that it is true that when you think you have cheek sagging you start to see it too. I had this case when i was in my early twenties. I got so paranoid about aging that i started to see and believe that i had skin sagging and i looked 40 when everyone still thought i looked 12. So there is still that too.

Here is an example of korean celebrities that people consider to have sagging from zygoma surgery

View attachment 4207677


Thanks guys~!!

Click to expand...

Thank you! This is informative

 

[iiibbystar]

Madambutterfly89 said: ↑

Thank you. I'm curious--if the zygomatic arch has been push inward and fixated wires--would it be risky to push it back out again?

Click to expand...

I want to know this too--help! does anyone have the answers? It seems like this is such a poorly known topic.

 

[sara88]

Can the cheek sagging happen after Accusculpt to the cheeks?

 

[dyn582]

https://beautyhacker.com/forums/topic/1002676-mega-zygoma-reduction-results-thread/

This should help people who are researching zygoma reduction!

 

[murshroom]

touni27 said: ↑

Hey guys,

I've been researching.... A LOT like endlessly with cheekbone sagging because it's the most "common" complication after cheekbone surgery. IM NOT A DOCTOR BUT IM AN ENTHUSIAST. so i've read a lot but take my writing with a grain of salt.

ALSO my english might be a little bit weird atm because i've read soooooo many korean posts that I find my grammar flipping sometimes @ _ @.

I decided to make a post to share some knowledge about sagging from cheekbone reduction.

First things first: There is always a chance of sagging with FC. But whether or not it's noticeable, or fixable depends on you and the doctor.

Second, wanted to point out that there's a difference between cheek sagging with the skin (comes from aging, skin wasn't very elastic, or because it's loose aka you cut too much bone off) and what looks like cheek sagging because of fat distribution/ non union of bone/ muscle tissue weakness.
Here are some IRL examples of what these ladies considered as cheek sagging from their cheekbone reduction surgery:

These pictures I pulled from IRL reviews in Gangnam Sister (an app like babitalk) (if anyone wants to know where they got their PS from DM me)

Before I get into my.. ESSAY I just wanna get these questions out of the way.

Can your skin stick back to your bone after it's been cut?
The answer is a soft kind of. The underlying tissues are built to be able to reintegrate. So yes they will reattach to your bone. In the case with tendons being cut it they do heal. But they tend to heal slower and become weaker in quality.
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241426/)

Do you constantly have to get facelift after the Zygoma surgery or can you just get it once?
(after researching about facelifts, and zygoma surgery and how it affects your tissues this is my answer, take it with a grain of salt)
If you cut too much and got loose skin, you can get a facelift with a good effect. And you will age normally like everyone else after that. How fast you age will depend on your skin elasticity not necessarily from your cheekbone surgery. But remember you can have tissue sagging which is different from your skin sagging, and tissue sagging can definitley be from cheekbone surgery, this will be explained down the line.


"SAGGING" FROM FAT

This is a year post op and she considered this as facial sagging because you can see slight bulge of Nasabloid fold there. This is actually not skin sagging but rather left over fat in her nasbloid fold and around her face.
View attachment 4207618
She and i have been messaging and she is going to get lipo not a facelift to rid of that illusion of "sagging". I wanna follow up with her and see how that goes.


SWOLLEN SAGGING

This is a before photo:
View attachment 4207619

This is AFTER photo. Two weeks post op:
She wrote in her review she's worried about her skin sagging because of how it looked, she knew it was going to sag because she lack elasticity in her face. She wanted to get lifting once her swelling went down.
View attachment 4207620

most of this sagging look she says is from her being swollen. This is what she looks like a month post op:
View attachment 4207622
It's a little better but it's not fully gone yet.
And then in three months:
View attachment 4207627

Hard to tell cuz she's so far away but she wrote in the review that she's happy with her result and that she didn't notice facial sag at the end. (I took it with a grain of salt though because there were no close up shots but it defintiley looked a lot better)

SKIN SAGGING:
This is an example of a 40 year old woman getting FC..
She has had multiple acounts of ultra lifting prior to FC surgery.
The far left is the before picture, The middle is skin sagging from FC a year post op, and the far right photo is after Facial lift.
View attachment 4207709



The doctor notes that no matter how much he pulls the skin it's impossible to get rid of your nasal fold completely like she was in her twenties.

Notice also guys, the jaw tends to look more square when you push in the cheekbone too much. she looked like she had a slimmer jaw before her FC IMO.

Sagging from damaging muscles/ tissues

This one is a really big deal. I haven't been able to find IRL examples of this because it's hard for me to pinpoint and be like SHE HAS SAGGING BECAUSE OF THIS. Even doctors can't sometimes tell what the sagging is caused by let alone me judging from photos lol. All the examples I provided I went off by their personal review and their experience after talking to their doctor. Or the doctor himself.

Sagging from Poor surgery is pretty irreversible when it comes to tissue damage.

View attachment 4207598

See those muscles right there? That's your zygomaticus muscles. And see where they are located? They pull up your face. If those muscles get damaged, that's when you get real trouble cheeksagging and pretty much irreversible (but i might be wrong, i haven't come across a procedure that provides solution though). Because those muscles are responsible for holding your face up (pretty much) when these muscles get weaker, these muscles, the fat, tissues they all start to fall, and you end up with a look that looks like:
View attachment 4207595

Your nasolabial fold will start to look prominent and kind of swollen. these muscles according to the doctor
( from this youtube video: (it's in korean, not sure if there's subtitles i didn't check))
will always get weaker after cheakbone surgery, or the distance will get shorter since your cheekbones have been pushed in. A shorter distance causes a looser muscle. Hence things can start to falllll.....

Sagging from nonunion
It's when the cheekbones don't get properly braced with the "pins"
I will continue this one lol next post.

As of now we have Three very common cheekbone procedures.

1) making an L shape cut, pushing, and then bracing it with metal. This one is the most common procedure done because it avoids those muscles.
2) Shaving: Notice how the zygomaticus muscles are attached underneath the bone. They shave the cheekbone above the muscles.
3. QUICK zygomaticus surgery: They break/ fracture at the outer cheekbone (close to the ear) and they push in. You get to fix your side cheekbones but not the 45 degree. It's hard for me to explain this procedure with words, i wish i can draw it.

These procedure all avoid the muscles, so in theory when done right risk to sagging should be minimal.
BUT if you cut too much for sure you will have a greater chance of sagging for obvious reasons.

When doing your consultation ASK YOUR DOCTOR about the cheekbone muscles and how they will avoid it. Ask them about the surrounding fat as well. Ask them how your skin elasticity is.

Some doctors get as detailed in consultation as touching your face and feeling your skin, and finding where exactly the fats are located. I think this is really important because along with CT scans and relaying information this will give additional info on how your face is built.


Take all this with a grain of salt. I am no expert just wanted to share my knowledge cuz i researched A LOT. and wanted to share ^^

From hundreds before/afters i've seen. I've seen more good results then bad ones but ive read a lot of people complaining about cheek sagging. Although after examining some of the photos of the people saying they had bad sagging i felt like the person didn't actually have cheek sagging....But it is hard to sometimes tell from photos. But i also believe that it is true that when you think you have cheek sagging you start to see it too. I had this case when i was in my early twenties. I got so paranoid about aging that i started to see and believe that i had skin sagging and i looked 40 when everyone still thought i looked 12. So there is still that too.

Here is an example of korean celebrities that people consider to have sagging from zygoma surgery

View attachment 4207677


Thanks guys~!!

Click to expand...

Hi Touni,thank you so much for this post.Is there anyway that dr can cut or push a little bit of my cheekbones?And do you think what questions should I ask them during the consultation about FC and zygoma reduction?

 

[lia_heart]

Is anyone familiar with namu's cheekbone method?
http://en.namups.com/document/Secret-Zygoma
it says chances of sagging are low, they dont cut the cheekbone

seems legit or too good to be true? thoughts?