Beyond Reduction Malarplasty: Analyzing Factors for Unfavorable Outcomes

Reduction malarplasty can result in an aesthetically pleasing face. However, in patients with a high coronoid/condylion width ratio (indicative of a well-developed ramus and coronoid strut), the effectiveness of malar reduction is diminished. For these cases, correcting horizontal mandibular divergence is essential to reduce facial width. Orthognathic maxillo-mandibular surgery may serve as a more effective surgical modality for modifying overall facial features.