Samsao Plastic Surgery Official Blog

2026-10-21

Does Cheekbone Reduction Surgery Differ by Protrusion Type?

Cheekbone protrusion direction shapes the surgical plan. This post explains three cheekbone types and how double Hyael osteotomy is used in cheekbone reduction surgery.

Does Cheekbone Reduction Surgery Differ by Protrusion Type?

Hello, this is Samsamo Plastic Surgery.

Facial contour is one of the key factors that shape the overall impression of your face.

The cheekbones, in particular, influence the width and three-dimensional look of the face. If they are well developed or protrude outward, the face may appear wider than it really is or give a stronger impression.

Does Cheekbone Reduction Surgery Differ by Protrusion Type?
Model photo with the slogan: 'Reduce prominent cheekbones, keep facial harmony' – 345 Double-High L osteotomy.

Many people consider cheekbone reduction surgery because of these concerns, but simply reducing the size of the cheekbones is not enough to achieve a natural facial shape. This is because it is important to consider the position and direction of the cheekbone protrusion together with the overall proportions of the face.

Today, we will explore the characteristics of each cheekbone protrusion type and cheekbone reduction surgery using the double Hyael osteotomy.

Does Cheekbone Reduction Surgery Differ by Protrusion Type? 사진 2
Worried about cheekbones? Front: the face looks wide. 45°: the cheekbone line stands out. An approach suited to your bone structure matters.

Are you concerned about cheekbones that stand out from every angle?

Cheekbones affect the facial contour in different ways depending on where and in which direction they protrude.

When the cheekbones are prominent from the front, the face looks wider. When they protrude at a 45-degree angle, the contours become more pronounced and can give the face an angular look.

For this reason, cheekbone reduction surgery requires a customized surgical plan that takes into account each person's protrusion pattern and skeletal structure.

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Three types: lateral cheekbones widen the face from the front; 45° cheekbones look angular from an angle; the combined type has both.

Cheekbones can be broadly divided into three types based on the position and direction of protrusion.

First, lateral cheekbone type

When viewed from the front, the cheekbones protrude to the sides, making the face look wider horizontally.

Second, 45-degree cheekbone type

The cheekbones stand out diagonally, making the face look angular and emphasizing its contours.

Third, combined cheekbone type

Both the lateral and 45-degree cheekbones are well developed together, so both the facial width and the protrusion stand out at the same time.

Does Cheekbone Reduction Surgery Differ by Protrusion Type? 사진 4
Diagram comparing a basic cut, a modified L-cut and the 345 Double-High L-cut, made higher and more tilted to also address 45° cheekbones.

At Samsamo Plastic Surgery, we perform the double Hyael osteotomy while taking into account each patient's cheekbone protrusion pattern and skeletal structure.

The double Hyael osteotomy is a surgical method that cuts the cheekbone at a more angled direction than conventional techniques, helping to achieve three-dimensional repositioning.

In particular, through a high Hyael osteotomy, we plan a reduction that also accounts for the protrusion of the 45-degree cheekbone.

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3D repositioning: after front and rear arch cuts and partial trimming of the front, the cheekbone is moved in three dimensions and fixed.

In addition, we osteotomize the front and back portions of the cheekbone and, if necessary, remove part of the front cheekbone before repositioning the entire cheekbone.

During this process, we move the cheekbone three-dimensionally based on each patient's skeletal structure and facial proportions, and secure it firmly in place.

This allows for harmonious contour refinement that addresses both the facial width from the front and the protrusion of the 45-degree cheekbone.

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345 cheekbone reduction before and 1 month after (eyes blurred). Real case; results vary, and bleeding or inflammation may occur.

Looking at real cases of cheekbone reduction surgery performed at Samsamo Plastic Surgery, you can see a softer and more natural facial contour, as the prominence of the lateral and 45-degree cheekbones that stood out before surgery has been reduced.

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Safety: 3 on-site anesthesiologists, dantrolene for malignant hyperthermia, surgeon's call within 24 h, university-hospital-level system.

Samsamo Plastic Surgery operates a systematic care system that prioritizes patient safety, from surgery through recovery.

Three specialists in anesthesiology and pain medicine are on site to monitor patients during surgery, and we keep dantrolene on hand, a treatment for malignant hyperthermia.

Through this safe surgical environment and systematic aftercare, we help our patients achieve a stable recovery.

Does Cheekbone Reduction Surgery Differ by Protrusion Type? 사진 8
Dr. Park Jong-rim, chief director of the Contour Center, with 28 years of contouring experience; plans surgery around each bone structure.

Dr. Park Jong-rim, Director of Samsamo Plastic Surgery, draws on 28 years of experience and expertise in contouring surgery to carefully analyze each patient's skeletal structure and facial proportions and plan a customized procedure.

Rather than simply reducing the protrusion of the cheekbones, the goal is to achieve a harmonious facial contour that considers the front, side, and 45-degree views.

If you are considering cheekbone reduction surgery, we encourage you to consult with us thoroughly to find the surgical approach that suits your facial shape 💙

Thank you 🙂


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Button: go to the 345 Plastic Surgery homepage.
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Button: book an appointment at 345 Plastic Surgery via Naver.
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Button: start a KakaoTalk consultation with 345 Plastic Surgery.
Samsamo Plastic Surgery Clinic 3rd and 7th Floors, 116 Bongeunsa-ro, Gangnam-gu, Seoul Check-ins from this blog Other posts about this place

Frequently Asked Questions

Does the surgical method for cheekbone reduction change depending on the type of cheekbone protrusion?

Yes, the article explains that the surgical plan can differ depending on the position and direction of cheekbone protrusion. Cheekbones are classified into three types: lateral cheekbone type, 45-degree cheekbone type, and combined type. It emphasizes that a customized plan that takes each person's skeletal structure into account is important.

What types are cheekbones classified into?

Cheekbones are broadly classified into three types based on where and in which direction they protrude. The lateral cheekbone type makes the face look wide from the front, the 45-degree cheekbone type protrudes diagonally and gives the face an angular look, and the combined type shows both features at the same time.

What is the double Hyael osteotomy?

The double Hyael osteotomy is a surgical method that cuts the cheekbone at a more angled direction than conventional techniques to help achieve three-dimensional movement. It is planned so that the reduction can also account for the protrusion of the 45-degree cheekbone through a high Hyael osteotomy.

How is the cheekbone repositioned in cheekbone reduction surgery?

The front and back portions of the cheekbone are osteotomized and, if necessary, part of the front cheekbone is removed before the entire cheekbone is repositioned. Taking each patient's skeletal structure and facial proportions into account, the cheekbone is moved three-dimensionally and stably fixed in place.

How is safety managed during cheekbone reduction surgery?

The clinic states that three specialists in anesthesiology and pain medicine are on site to monitor patients during surgery. It also keeps dantrolene on hand in preparation for malignant hyperthermia and operates a systematic management system from surgery through recovery.

What should I check before cheekbone reduction surgery?

The article recommends consulting thoroughly to confirm the surgical approach that suits your facial shape. It explains that the position and direction of cheekbone protrusion should be considered together with the overall proportions of the face, and that simply reducing the size of the cheekbones is not enough to create a natural facial shape.

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