Overview of the surgery:
Cheek bone reduction is a plastic surgery procedure for those who desire feminization to make
face smaller. This is performed on patients with large cheek bones. This is a popular procedure among
Asian women since an oval or heart shaped faced is considered to be more pleasing and desirable.
In zygomatic (cheek bone) reduction, both ends are cut and the intervening bone segment (zygomatic
bone) is moved inward, backward and downward. So, cheek prominence is depressed and the patient
can get small, shallow face and smoother, smarter impression.
The procedure is performed through an incision inside the ear in front of the ear canal, and from
inside of the mouth, thus leaving no visible scars. This is then secured by stainless steel wires. The
cheekbone heals very rapidly. In a week’s time, it will be firm and stable.
This entire process approximately takes 4~5 hours.
Care after surgery:
You will have to take it easy and keep your head elevated while resting and sleeping for 7-14 days after
the procedure. Your face will look very swollen in the first 3 days. But, as the days go on the swelling
and bruising will dissipate. Any sutures you may have will be removed 7-10 days after surgery.
You may go back to work 1-2 weeks after surgery.
We guarantee quality service and satisfying results of the operation but in cases of surgical
corrections, patient can assure a free of charge revision.
Please see before and after photos of Dr. Tanongsak patients in the Photo Gallery (photographs
showed are with patient’s consent).
Risks and complications:
The possible risks include: bleeding and prolonged swelling, infection, asymmetry or over resection,
injury to facial nerves
the facial nerve to forehead can be injured.
Types of anesthesia use:
The procedure usually uses General anesthesia.
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient
surgery center, or at a hospital. This procedure is usually done on an outpatient basis.
Preparation prior to surgery:
Get lab testing or a medical evaluation. Take certain medications or adjust your current medications.
Stop smoking well in advance of surgery and avoid taking aspirin, anti-inflammatory drugs and herbal
supplements as they can increase bleeding
Assessment of the medical history (any allergies, serious medical condition and all
medications taken both prescribed and non-prescribed), physical examination, and laboratory
tests will be performed during consultation.
Blood and urine samples will be collected for routine preoperative laboratory tests. X-rays
may be taken to evaluate the individual’s bone structure.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with
circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout
your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and
supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery.
Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase
Surgical fees are fully paid prior to your surgery. Costs may vary and depend upon the complexity of
the operation, where the surgery takes place and what anesthetic agent is administered. The payment
can be in the form of US dollars, Euro, Japanese Yen, Singapore Dollars, and Australian Dollars. We
also accept credit card (Visa, MasterCard) for your convenience but we usually charge additional 5%
Booking and reservation:
Booking will be confirmed as soon as you deposit 10% of the total cost for major surgery and 200 US
Dollars for minor surgery. Please send us the copy of your wire transfer receipt. Please inform us your
flight itinerary one week prior to the surgery.
Appointment with the surgeon:
Consultation will be scheduled upon request. We will arrange it once you have already booked
for the surgery.