Tightening Malar Surgery

Tightening Malar Surgery
Tightening Malar Surgery

What is Tightening malar surgery?
No need to worry about droopiness when skin lacking of elasticity or excessive skin on face as
Tightening malar surgery at Grand will complete smooth facial contour with the method of malar
reduction and skin lifting surgery concerning with the droopiness on the cheek area.
Using secure and stronly fixed material (Endotine), minimizing the possibility of getting
droopy cheek, and also lifting existing droopy skin to get tightened to complete well toned face.
Self diagnosis of cheeckbone development
Face looks broad.
Have rough appearance.
Don’t have refined look.
Look old with sunken cheek below the cheekbone.
Look plain and dull.
Have high cheekbone with droopy skin.
 Most concern with cheekbone reduction? ‘Droopy cheek’ 
Many people worry about droopy cheek after the cheekbone reduction.
Cheekbone+Skin
Cheekbone+Skin
It’s because the skin which used to cover the cheekbone is stayed still eventhough cheekbone is reduced.
If you concerned with having a cheekbone surgery due to the aging, lacking skin elasticity and so on,
Recommend Tightening Malar surgery at Grand.
 So, 
 the way of removing droopy cheek 
 with Endotine? 
Endotine lifting is very effective procedure on the center
face region, inserting secure and strongly fixed material
called Endotine on the skin tissue extensively pulling the
skin helping deep wrinkles as well as lifting droopy
skin tissue in general.
 Advantages of Endotine 

Effective outcome
of lifting straight
after the surgery
Definite and has
semi-permanen
effect
Safe material
with natural
absorption
Faster recovery
with minimizing
incision with
endoscope
Strength and
range adjustment
of lifting
is possible
 Then, why do we get droopy cheek? 
When cheekbone get reduced and position changes,
soft tissue also should get reduced.

But if large amount of cutting bone or had aging
issue with the skin before the surgery,
Soft tissue would look as it has been drooping,
even after the cheekbone reduction.
Tightening malar surgery is at Grand

Immediate improvement
in facial contour
Define reduction in cheekbone and
pulling strongly with Endotine,
lifting cheek and chin line you will
see the improvementin facial contour
straight after the surgery.

Small face with elasticity
Lifting cheekbone and surrounding
muscles in a fixed position
and pulling up droopy skin
with Endotine to have slim face.

Long lasting effect
The lifted skin is tightly fixed for
about an year setting on the bone
and muscle giving semi-permanent
effect to last longer, compared to
existing lifting procedure.

Why Tightening malar surgery at Grand?
Reducing width of face 3dimensionally and safely.
Tightening malar surgery at Grand lift existing droopy skin to get tightened to complete well toned face.
Diagnosing with 3D
to get accurate
facial structure

Use Endotine
which is secure and
strong to prevent
droopy cheek

Broad and plain
face to change
3 dimensional
with toned face

No localixed
effect

Safe Tightening malar reduction surgery
The surgery itself accompanies cutting facial bone that has numerous
nerves and veins, thus to be performed by skillful specialists.
As we accurately analyze face with 3D and consider the safe
racture without touching nerve glands the most,
allowing high technical surgeries also could be done safely.

Prevent droopy cheek with Endotine
Inserting secure and strongly fixed material called Endotine to minimize
the possibility of droopy cheek and lifting existing droopy skin to
get tightened to compltet well toned face.

Plain face to 3 dimensional face
Not like existing surgery where there has been only reduction procedure,
it’s giving structural change with giving different ranges of volume to
have 3 dimensional cheek shape.

No Localized Effect
It is not about cutting cheekbone or lateral malar resection,
but shortening the overall face and shape changes to show the well balanced facial reduction.

horough post management 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.

Method of Tightening malar surgery at Grand
We consider facial cubic effect,
peforming the 3 dimensional malar rotation to enhance the satisfaction.
Minimal incision
for skin
detachement
Fixed double
cheekbone
Pulling skin
and muscle
to hold with
Endotime to
fix on to
the skin
Tightened
skin and malar
reduction
 Malar Reduction

 Lateral malar reduction 
 Anterior malar voluming up 

Reduce the lateral malar,
not to be seen convex actual facial width.
Making appropriate volume on anterior malar
to be seen better in 45 degree aside

1
Resect the partial
anterior malar in
L-Shape and cut off.

2
Resect the arch shaped
bone of the lateral malar
and separate with the
anterior one.

3
Rotate the separated
cheekbone inside and
make some volume.

4
Fix the fractured bone
tightly with plate in
order to prevent
asymmetry or recurrence

 Prevent droopy cheek with Endotine lifting

Setting position after the minimal incision
Makin space for a fixable area
Setting it up in a positioned area
Finish off with suture
Skin tissue well set
Lifting up droopy skin tissue

Existing thread lifting
Endotine lifting
Temporary effect
Semi-permanent effect
Strength of thread is weak and thin making
it hard for lifted skin to be supported
Endotine holds strongly to skin tissue
which pulls skin tightly
Left permanently
Absorbable which takes about an year,
harmless to human body

Who should get Tightening malar reduction?
Worried of
havingmalar
reduction
concerning with
droopy cheek

Want to have
definite effect of
malar reduction
surgery

Have broad
face with chubby
cheek resulting
droopiness

Have broad face
with slim cheek
and seak skin

Have
cheekbone that
has been dropped
down wnating
for a revision

Have 45 degrees
of lateral malar,
developed
cheeckbone

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

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.

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

*Please note: In regards to before and after photos on this site, results may vary depending on each patient's individual case.*