Cheekbone reduction surgery, also known as zygoma reduction surgery, is a specialized facial contouring procedure designed to reduce prominent or wide cheekbones. This surgery creates a softer, slimmer, and more balanced facial profile by reshaping the zygomatic bone (cheekbone).
In Bangkok, Thailand, cheekbone reduction surgery has become increasingly popular among international patients seeking advanced facial contouring procedures. Thailand is known for its highly skilled surgeons, modern medical facilities, and competitive surgical costs, making it one of the leading destinations for cosmetic surgery in Asia.
Overview of Cheekbone Reduction Surgery
Prominent cheekbones can make the face appear wide, masculine, or angular, particularly when the zygomatic bones project outward. Cheekbone reduction surgery is designed to narrow the midface and create a more balanced facial contour.
The procedure typically involves:
- Reducing the width of the cheekbones
- Repositioning the zygomatic arch
- Creating a smoother facial line from the temples to the jawline
- Enhancing overall facial harmony
This surgery is particularly popular among patients who desire:
✔ A smaller and slimmer facial shape
✔ A more feminine facial contour
✔ Improved facial balance and symmetry
Cheekbone reduction is often combined with other facial contouring procedures such as jaw reduction, chin surgery, or facial feminization surgery (FFS).
Preparation Before Surgery
Proper preparation before surgery helps ensure patient safety and optimal surgical outcomes.
Medical Consultation
During the consultation, the surgeon will:
- Evaluate your facial bone structure
- Review your medical history
- Discuss your expected results
- Recommend the most appropriate surgical technique
Patients are usually asked to provide multiple facial photos, including:
- Front view
- 45-degree view
- Side profile
Some clinics may also use 3D facial analysis to plan the surgical approach.
Medical Tests
Before surgery, patients may need to complete several medical tests, including:
- Blood tests
- HIV screening
- Hepatitis B and C tests
- Chest X-ray
- ECG (if required)
These tests ensure that the patient is fit for anesthesia and surgery.
Lifestyle Preparation
Patients should follow these guidelines before surgery:
- Stop smoking 2–4 weeks before surgery
- Avoid alcohol 48–72 hours before surgery
- Avoid medications that increase bleeding (aspirin, vitamin E, fish oil)
- Maintain a healthy diet and good hydration
Following these instructions helps reduce surgical risks and supports faster healing.
Surgical Procedure
Cheekbone reduction surgery is typically performed under general anesthesia and usually takes 2–3 hours.
Surgical Steps
- Incision Placement
Small incisions are usually made inside the mouth, which helps avoid visible external scars. - Bone Reshaping
The surgeon carefully performs osteotomy (bone cutting) to reduce and reposition the zygomatic bone. - Repositioning the Cheekbone
The cheekbone is moved inward to create a narrower facial contour. - Fixation
Titanium plates and screws are used to stabilize the repositioned bone. - Closing the Incision
The incisions are carefully closed with dissolvable sutures.
After surgery, a compression bandage may be applied to minimize swelling and support healing.
Post-Operative Care
Proper aftercare is essential for a smooth recovery and optimal results.
First Week
- Swelling and mild bruising are normal
- Patients may experience mild discomfort or tightness
- A soft or liquid diet may be recommended
Two to Three Weeks
- Swelling gradually decreases
- Patients can return to most daily activities
- Facial contours begin to become more visible
One to Three Months
- Most swelling subsides
- Facial shape becomes more refined
Six Months
- Final results become fully visible as tissues settle
Patients should follow all post-operative instructions provided by their surgeon to ensure proper healing.
Possible Risks and Complications
Although cheekbone reduction surgery is generally safe when performed by experienced surgeons, potential risks may include:
- Infection
- Bleeding
- Temporary numbness
- Facial asymmetry
- Delayed healing
- Swelling lasting longer than expected
Choosing a highly experienced facial contouring surgeon significantly reduces the risk of complications.
Why Choose Dr. Jaray Krainam, MD?
Dr. Jaray Krainam, MD, is recognized for his expertise in advanced facial contouring and facial feminization surgery in Thailand. His approach combines surgical precision, aesthetic artistry, and patient-centered care.
Key Reasons Patients Choose Dr. Jaray
Extensive Surgical Experience
Dr. Jaray has many years of experience performing complex facial bone surgeries.
Advanced Facial Contouring Techniques
He specializes in procedures such as:
- Cheekbone reduction
- Jaw reduction
- Chin contouring
- Facial feminization surgery (FFS)
Personalized Surgical Planning
Each patient receives a customized treatment plan designed to achieve natural and harmonious facial proportions.
Focus on Safety and Long-Term Results
Dr. Jaray prioritizes patient safety, precise surgical techniques, and long-term aesthetic outcomes.
International Patient Care
Many international patients travel to Bangkok for surgery due to Dr. Jaray’s reputation and Thailand’s advanced medical facilities.


