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(Description) Welcome to my channel! I'm Dr. Euiryong Lee, oral and maxillofacial surgeon at Chung-Ang University Hospital. 🔬 VIDEO OVERVIEW: In this comprehensive surgical case review, I present a groundbreaking approach to cheekbone repositioning surgery that addresses two critical patient concerns: "I want enhanced 45-degree cheekbone projection AND facial sagging improvement, but I don't want my face to look wider." 📊 WHAT YOU'LL LEARN: ✓ How cheekbone repositioning improves facial sagging without traditional facelift ✓ Advanced digital surgical planning for cheekbone restoration ✓ Custom pre-bent plate fabrication techniques ✓ Maintaining zygomatic arch position while augmenting anterior cheekbone ✓ Understanding the relationship between bone support and soft tissue sagging ✓ Facial asymmetry in cheekbone structure (90° vs C-shaped variations) ✓ One-year post-operative CT analysis and dramatic soft tissue changes 👤 PATIENT CASE: 19-year-old female patient who underwent cheekbone reduction 6 months prior, seeking: Restoration of 45° cheekbone projection Facial sagging improvement (primary concern) NO increase in overall facial width NO lateral cheekbone enlargement ⚕️ SURGICAL INNOVATION & SAGGING IMPROVEMENT MECHANISM: Unlike traditional approaches, this technique focuses on repositioning the anterior cheekbone (45° area) while keeping the zygomatic arch (lateral cheekbone) fixed. Why This Improves Facial Sagging: When the 45° cheekbone is restored to its proper projection, it acts like "raising a tent pole" - the overlying soft tissue is naturally lifted and supported. This creates: Smoother facial contours without depression hollows Reduction of the sunken appearance between cheekbone and lower face Tighter, more youthful facial appearance Natural lifting effect without stretching skin The sagging improvement is both ACTUAL (tissue being supported) and RELATIVE (restored bone projection makes adjacent areas appear less prominent). 🎯 KEY SURGICAL CONCEPTS: Pre-operative digital planning with custom guides Strategic osteotomy without bone length reduction Four-hole drilling guide system for precise plate positioning Bone grafting for contour restoration Soft tissue vector analysis for predicting sagging improvement ⚠️ POTENTIAL COMPLICATIONS DISCUSSED: Revision surgery possibilities Asymmetry considerations Facial nerve safety (eyebrow elevation branch) Sensory changes around cheekbone and eye area Non-union risks 📈 REMARKABLE SAGGING IMPROVEMENT RESULTS: The 1-year follow-up demonstrates: ✓ Significant facial sagging reduction - visible tightening effect ✓ Clear enhancement of 45° cheekbone projection ✓ Elimination of mid-face hollow depressions ✓ Smoother, more continuous facial curves (no irregular in-and-out contours) ✓ Maintained zygomatic arch position (no facial widening) ✓ Overall facial rejuvenation and tightening effect ✓ Natural-looking youthful appearance restoration 💡 WHY FACIAL SAGGING OCCURS AFTER CHEEKBONE REDUCTION: Many patients experience facial sagging after cheekbone reduction because: Loss of bone support causes overlying tissue to drop The relative change creates irregular facial contours (concave-convex patterns) Missing anterior projection makes adjacent areas appear more prominent Creates the visual perception of sagging even without actual tissue descent Understanding the relationship between bone position and soft tissue support is crucial for both surgical planning and patient counseling. 🔍 ONGOING RESEARCH: I'm currently developing predictive methods to determine which patients will be satisfied versus regretful after cheekbone surgery, particularly regarding sagging issues. Stay tuned for future updates on this important research. 📚 TERMINOLOGY GUIDE: T0 = Pre-surgery baseline T1 = Immediate post-surgery T2 = Follow-up timepoint 45° cheekbone = Anterior malar prominence Zygomatic arch = Lateral cheekbone Sagging = Facial soft tissue ptosis/drooping 👨⚕️ ABOUT DR. LEE: Board-certified oral and maxillofacial surgeon specializing in facial contouring, orthognathic surgery, facial bone reconstruction, and facial rejuvenation procedures at Chung-Ang University Hospital, Seoul, Korea. 🔔 SUBSCRIBE for more advanced surgical techniques, patient case reviews, and evidence-based facial surgery education focusing on both aesthetics and anti-aging effects! 💬 QUESTIONS? Leave a comment below and I'll do my best to respond! ⚠️ DISCLAIMER: This video is for educational purposes only and does not constitute medical advice. Please consult with a qualified surgeon for personalized evaluation. #FacialSagging #CheekboneRepositioning #FaceLiftAlternative #FacialRejuvenation #AntiAging #MalarAugmentation #ZygomaticSurgery #FacialContouring #NoSurgicalFacelift #KoreanPlasticSurgery #MaxillofacialSurgery #SaggingImprovement #YouthfulAppearance #DigitalSurgicalPlanning #FacialTightening