Non-Fixation Reduction

Non-Fixation Reduction

Non-Fixation Reduction

What is a non-fixation malar reduction?
While most of the malar reductions are cutting the anterior and posterior malar and moving or rotating
to the internal side then fixing them, there are, very rare though,
some patients who could have enough effect by slightly putting the lateral malar to inside.

In this case, non-fixation malar reduction is recommended which positioning
the fractured bone to fully attached by themselves, not to use artificial fusion method.
Self diagnosis of cheeckbone development
Face looks broad
Have fierce appearance
Looks not sophisticated
There is space on the cheek below the malar and look older.
Look flat
Facial Contouring surgeries with us, at Grand
Non-fixation malar reduction could be greatly effective
for 'laterally convex malar'
01
For a medial malar resection, large reduction is available
when using green-stick fracture, not the general methods.
02
As Grand's method is performing the reduction by rigorousl
approaching the equipment to the medial malar,
the cheekbone and exterior flesh are not separated
and it helps avoid the droopy cheek.
the surgical method can be limited depending on each one's condition
since non-fusion malar reduction makes the lateral malar to the inner side.
At Grand we use laser to conduct malar reduction.
Since we use water and laser to cut down the malar, the damage to bone is minimized.

 01| Less damage to bone compared to butting it with. 
 02|
 Laser helps bone cells to regenerates
 that the bone after surgery can heal quickly 
 03| Less damage to nearby tissue, soft tissues and cells. 
 04| Less bleeding 
 05| Surgery procedure is safe. 

Why Grand’s non-fixation malar reduction?
Effectively reducing the lateral malar and balancing overall face.
Minimizing the
duration time and
recovery period
Broad face
to defined face
No topical
effect
Accurate
diagnosis
with 3D

Preventing droopy cheek
It prevents droopy cheek due to the distance between skin
and shortening amount the cheekbone.

Plain face > defined face
Not only using a method which performs only decreasing the size,
but also considering the curve to give structural change for a defined malar

No topical effect
It is not about cutting cheekbone or lateral malar resection,
but a well-balanced facial-body reduction

It’s safe
It is a surgery which accompanies cutting facial bone that has numerous nerves and veins,
thus has to be performed by skillful specialist. As we accurately analyze faces
with 3D and consider the safe fracture without touching nerve glands the most,
high level surgeries can be safely done.

A thorough aftercare and recovery system
After 3 dimensional malar rotations, a care system is offered to soothe the swelling
and pain as well as to shorten the recovery period.

Through an accurate 3D CT scanning, a beautiful face contour is created.
As each patients has different anatomical structure it might cause
different complications during surgery (nerve damage which might
cause paresthesia,abnormal anatomical structure which cause excessive
bleeding, a respiratory failure which might happen during full
anesthesia, difficulties on respiratory after the surgery etc)
has been check-up before hand, it’ not only a matter of discussing
the surgery method scientifically but also about having a shorter
surgery time to reduce the recovery time as well.

Check up using the most common 2D(panorama, W-ray etc)
system, to get a check up on a 3D face through a flat picture
might cause error and it might be hard to get a detailed check-up
For a more
accurate diagnosis
3D CT scanning is used

The method of Grand’s non-fixation malar reduction

1
After incision, fracture
on the exposed
cheekbone

2
Partial resection for
the front full resection
for the back.

3
In fracture on the anterior
part, locate the bones to
be linked together and not
to fix the posterior part.

4
Suture each incisional
area with thread.

Grand’s facial contouring specialist and collaborative system
In Grnad facial contouring center we have a specialized systematic and accurate collaborative system
composed of specialist in several areas to match each individual best checkup and treatment,
to that each of them can have the safety post surgery treatment and simple approach system.
Grand’s Facial Contouring Center Collaborative System
 Plastic Surgery
 Oral Surgery
 Facial Contouring
 Specialist Anesthesia
 Team Internist

 Post Surgery Treatment
 with an exclusive supervision
Surgery plan, treatment and aftercare system by two jaw/ facial contouring surgery specialist
Collaborative system for two jaw surgery, protruding mouth surgery and orthognathic surgery
Check up and treatment system pre and post-surgery for patient with chronic disease such
as high blood pressure, diabetes, angina pectoris, etc.
Check up and treatment system pre and post-surgery for patient with chronic disease such
as high blood pressure, diabetes, angina pectoris, etc.
Jaw / Facial Contouring Specialist "Exclusive Supervision Post-Surgery System"
Emergency ManagementIntensive Treatment CenterAnesthesia SpecialistSterilized System

Self generated electricity system
in case of local blackout (UPS)
Defibrillator that controls heartbeat
Emergency cart to prepare
for emergency
We have an equipment and skill
to react swiftly and accurately on
emergency situation that might
happen during a jaw / facial
contouring surgery.
After the surgery, to get
ready for any emergency
that migh happen,
the patients were being
treated in an intensive
treatment center.
The anesthesia specialist
concentrates to
check up on patient’s
heartbeat and
respiration condition.
To provide a safe and
clean surgery and
treatment, we make
use of high tech
sanitize and sterilizer
to had a thorough
sterilized system.

To whom the non-fixation malar reduction would be suitable?
Those who have
wide lateral malar
Having
a vivid and fierce
appearance
Bumpy-looking
face with
protruded
cheekbone
Cheeks and
temples
look relatively
sunken due
to the protruded
cheekbone

General malar reduction’s surgical designing system
It deals with the main structure
of one’s face(facial contour)
so it is different from that
of the existing eyes or nose
surgery. It makes more clear
and refreshed image, thus an
‘image surgery’.
It is like other facial contouring
surgeries, the outline of face
would have overall change
so it must be designed by
considering the whole image
and visual effect around
nose and lips which might be
accompanie with the surgery.
Medical photos and an x-ray
of the whole face are
taken one week before the
surgery, so the result
is minutely planned.
This kind of
‘planned surgery system’
gives the beauty which cannot
be compared to other hospitals
which performs operation
with only surgeon’s
hunch and sense.

 After care is also important after facial contouring 
01
It is advised to use ice pack right after the surgery until swelling goes down.
02
Fasting for a day after the surgery and taking soft food
(thin rice gruel, juice, milk and drinkable liquid food) is recommended.
03
Taking normal food is possible 2 weeks after the surgery, however, cut side dishes into pieces
and eat solid food 4 weeks after the surgery.
04
Wear compression band for 3-4 days after the surgery and avoid bending head down or lying on the
stomach. Sleepingwith 2-3 pillows under the head will help with subsiding pain.
05
Gargle to keep clean inside the mouth after taking meal in order to prevent inflammation
and infection inside the mouth.
06
Smoking and drinking will slow down healing wound. If unavoidable,
they are possible 3-4 weeks after the surgery.
07
Going through heavy shock should be avoided Every patient has swelling after the surgery,
however depending on quantity matter and individual constitution may affect the condition
Every patient has swelling after the surgery,
however depending on quantity matter and individual constitution may affect the condition

* Side effects such as bleeding, inflammation, infection, etc. can be experienced after surgery and consult with your doctor as individual results may vary.*