Typically, reduction malarplasty procedures are conducted under general anesthesia to ensure patient safety and airway protection during the surgery. In recent times, there’s been a growing demand for simpler, less invasive methods to enhance facial contours. In response, some studies have explored reduction malarplasty via alternative approaches such as the Gillies tempo­ral method or small preauricular incisions, elimi­nating the need for intraoral incisions. Despite being minimally invasive, these techniques often lack rigid xation, leading to unpredictable out­comes and potential risks like bony nonunion [1]. To address these limitations, our clinic has devel­oped the “mini-zygoma reduction surgery,” an compromizing approach that maintains the mini­mally invasive nature of the procedure while incorporating necessary xation techniques. This modication ensures more reliable and consistent results, aligning with the evolving preferences of patients seeking facial contour improvements [1].