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I have a problem with one of my cheekbones, the left is far too prominent and sticks out.

Your questions answered by our surgeon, Lucian Ion, FRCS(Plast)

Asked on 21 February 2013


I have a problem with one of my cheekbones. The left is far too prominent and sticks out at an unusual angle.

Would you happen to have experience in correcting or reducing the size of cheekbones? Please can you let me know if you would be able to perform this type of surgery and what you would likely charge for it?


A degree of facial asymmetry is universal, and I see a pattern of the difference that to describe in every person. In some instances, a reduction may be the answer, in others the alternatives may be to camouflage the shape of the cheekbone by means of volume added above or below.

My approach is generally to use 3-D imaging and simulation in order to evaluate the characteristics of the change and some alternatives.

For significant cheek reduction however if it is indeed the procedure of choice, I would recommend a maxillofacial colleague or a craniofacial colleague that has experience with this type of intervention. I am happy to do smaller adjustments in the shape of the bone, essentially along the lines of smoothing the contours, but the standard intervention for cheekbone reduction involves removing a wedge of bone and resetting the position of the cheekbone.

In general terms it is also associated with higher risks in terms of facial irregularities, and more suitable for situations like corrective surgery in the far eastern populations that sometimes display a very wide cheekbone diameter compared to the vertical size of the face.

Lucian Ion Cosmetic Surgeon Mr Lucian Ion FRCS(Plast)
129 Harley Street

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