Endoscopic Zygoma Reduction
Zygoma reduction is usually performed through an incision inside the mouth. This approach requires extensive separation of the cheek tissue from the bone, which can lead to cheek sagging after surgery, and the bone must be secured with plates. Instead of an intraoral incision, Dr. Kang inserts an endoscope through a small incision within the temporal hairline and moves only the lateral cheekbone, which contributes to facial width, inward. Leaving the anterior cheek tissue undisturbed reduces the likelihood of cheek sagging. The bone is cut obliquely so that the cut surfaces interlock, eliminating the need for plates.
- Incisions
- 2–3 cm within the temporal hairline; 8 mm at the sideburn
- Anesthesia
- Sedation rather than general anesthesia
- When it may not be suitable
- An intraoral approach is more suitable when the anterior cheekbone is very prominent or substantial bone movement is required
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Foreign Material Removal
When filler forms lumps or causes swelling, dissolving injections are usually tried first. However, these injections work only on hyaluronic acid fillers, not fillers made from other substances, grafted fat, or old hardened material. Dr. Kang first uses ultrasound and CT to locate the material and assess its extent, then removes the problematic portions under direct vision while preserving nerves and normal tissue.
- Materials treated
- Illegally injected foreign materials, non-dissolvable fillers, grafted fat, and forehead or temple implants
- Under-eye procedures
- Performed exclusively by Dr. Chang Min Kang
- Limitations
- 100% removal is difficult because normal tissue must be preserved
- After removal
- A facelift is planned alongside removal when hollowing and sagging remain
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Facelift
Lifting sagging skin alone leaves the underlying tissue in place, concentrating tension on the incision and potentially limiting how long the result lasts. Dr. Kang releases the tough layer beneath the skin and the structures holding the tissue in place, then repositions the deeper tissue together with it. When hollowing and sagging remain after foreign material removal, the sequence of removal and lifting is planned together.
- Operating time
- Approximately 4–5 hours
- Suture removal
- Within 10 days
- Return to daily activities
- Approximately 2 weeks
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