Expert Cheekbone (Zygoma) Fracture Treatment in Mission Viejo, Orange County

Facial injuries require more than just medical intervention—they call for surgical precision, artistic sensitivity, and a deep understanding of facial harmony. At Orange County Surgical Specialists, we specialize in the comprehensive treatment of zygomatic (cheekbone) fractures with the goal of restoring both facial symmetry and optimal function. Under the expert care of double board-certified facial surgeon Dr. Reza Bolourian, patients receive customized treatment in a private, accredited surgical setting that prioritizes safety, comfort, and natural-looking results.

What Is a Zygoma (Cheekbone) Fracture?

The zygoma—commonly known as the cheekbone—plays a critical role in both the aesthetics and mechanics of the face. It supports the midface structure, defines the cheek's contour, and helps form the orbital rim, which protects the eye. When fractured, this bone can shift out of place, leading to facial flattening, vision changes, asymmetry, or impaired jaw movement.

Zygomatic fractures can occur due to car accidents, sports injuries, falls, or physical altercations. In many cases, the injury also affects surrounding structures like the orbital floor, upper jaw, or sinus cavities, making accurate diagnosis and timely, expert treatment essential.

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Signs and Symptoms of a Cheekbone Fracture

Zygoma fractures may not always be visually dramatic, especially if swelling obscures the underlying bone displacement. Some of the most common symptoms include:

  • Flattened or sunken appearance of one cheek
  • Bruising around the eye (periorbital ecchymosis)
  • Facial numbness (due to infraorbital nerve compression)
  • Difficulty opening the mouth or chewing
  • Blurred or double vision
  • Noticeable facial asymmetry

Prompt evaluation and imaging (CT scans) are critical to determine the extent of injury and rule out more complex midface trauma.

When Is Surgery Necessary?

Not all zygomatic fractures require surgery. If the bone remains in alignment and there's no impact on function or appearance, conservative monitoring may be sufficient. However, when displacement is present, surgical repair is usually recommended to reposition the bone, restore symmetry, and prevent long-term complications such as malocclusion, chronic sinus issues, or nerve dysfunction.

What to Expect from Surgical Repair

At Orange County Surgical Specialists, Dr. Bolourian performs zygoma fracture repair with a high degree of precision and discretion. Depending on the complexity of the fracture, the procedure may involve:

Open Reduction and Internal Fixation (ORIF)

Realigning the fractured bone and stabilizing it using small plates and screws.

Minimally Invasive Incisions

Strategically placed within the hairline, inside the mouth, or along natural creases to reduce visible scarring.

Orbital Floor Reconstruction

If the eye socket is involved, we may rebuild the orbital floor with a biocompatible implant to support the eye and restore function.

Surgery is performed in our fully accredited on-site surgical center, which meets hospital-grade standards for safety and infection control. Most procedures are completed under general anesthesia with a short recovery window.

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Recovery and Results

Following zygoma fracture surgery, swelling and bruising are normal and typically peak within the first 72 hours. Most patients return to light activities within one to two weeks and resume full function within several weeks. Post-operative care includes:

  • Cold compresses to minimize swelling
  • A soft diet to avoid stress on the healing area
  • Avoiding contact sports or pressure to the face during recovery
  • Medications to manage pain and reduce infection risk

With proper care, patients enjoy restored facial balance, resolution of symptoms like numbness or jaw restriction, and long-term stability of the cheekbone structure.

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" The team here is very responsive to all communication."

From the moment I walked in, I received 5-star service. The team here is very responsive to all communication. There are no surprises or unnecessary charges; they are very upfront. I originally came in to get my wisdom teeth removed. I was aware that I could use some Perio work as well. After the first consultation, both doctors took a look at my charts and recommended I get both the wisdom and Perio work done at the same time. I was a little hesitant at first, but I am glad I listened to their recommendation.

Hapa P.

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Risks and Considerations

As with any surgery, cheekbone fracture repair carries some risks, including bleeding, infection, scarring, or nerve injury. However, in the hands of an experienced facial trauma surgeon, these risks are greatly minimized. Dr. Bolourian's meticulous technique, combined with advanced imaging and customized planning, helps ensure outcomes that are both functional and aesthetically sound.

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Why Choose Orange County Surgical Specialists for Cheekbone Fracture Treatment in Mission Viejo, Orange County?

Dr. Reza Bolourian brings decades of experience in facial trauma surgery, aesthetic reconstruction, and maxillofacial care to every case he treats. As a double board-certified surgeon with a background in both cosmetic and reconstructive facial surgery, he approaches cheekbone repair with unmatched precision and artistry. All procedures are performed in our private, fully accredited surgical suite, designed to deliver the highest levels of safety, comfort, and discretion. With personalized care and a strong commitment to natural-looking results, Orange County Surgical Specialists offers world-class treatment for complex facial injuries right here in Mission Viejo.

Cheek Bone Fractures Frequently Asked Questions

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Will a cheekbone fracture heal on its own?

Minor, non-displaced fractures may heal without surgery, but displaced zygomatic fractures often require surgical intervention to restore proper alignment and avoid long-term complications.

Is cheekbone fracture repair a cosmetic or medical procedure?

It's both. While restoring aesthetics is important, the procedure also addresses functional concerns such as jaw movement, nerve health, and orbital integrity.

Can this surgery be combined with other facial trauma repairs?

Yes. In cases of multiple facial fractures, zygoma repair is often performed in conjunction with treatments for nasal fractures, orbital floor reconstruction, or maxillary repairs.

What happens if a zygoma fracture is left untreated?

Untreated cheekbone fractures can lead to permanent facial asymmetry, vision problems, chronic numbness, or difficulty chewing. Early surgical correction offers the best chance for full recovery.

Will there be visible scars?

In most cases, no. Dr. Bolourian places incisions in hidden areas such as the hairline, lower eyelid, or inside the mouth. This allows for discreet healing with little to no visible scarring.

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