Fifteen patients with prominent zygoma have received reduction malarplasty from January 1994 through December 2000. In mild cases, the osteotomized zygoma was repositioned superoposteriorly. In severe cases, after removal of 3 to 5 mm thick bony segment, the osteotomized zygoma was repositioned medially and superoposteriorly. Eleven patients were female and four patients were male. Seven patients were operated through the bicoronal incision and eight patients were operated through the intraoral and preauricular incisions. 
Reduction malarplasty through the bicoronal incision has advantages such as wide operative field, easy to maintain symmetry and possibility of combining forehead lift. Reduction malarplasty through intraoral and preauricular incision has advantages of short operative time, simplicity in procedure and no scalp scar.  
 Combined procedures with the reduction malarplasty were as follows: reduction of the mandible angle in 9 patients, augmentation rhinoplasty in 2 patients, face lift in 1 patient, and dermofat graft in 1 patient. Follow-up period was 3 to 36 months and all patients were satisfied with the results.
In conclusion, the procedure of osteotomy and reposition of the malar bone is very effective for the correction of the prominent malar. One should consider that the whole face should be regarded as a one unit. Therefore, the reduction malarplasty combined with mandibular angle reduction, augmentation rhinoplasty and face lifting can be a useful way to have a more pleasing look and youthful appearance.