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In 2014, after a lot of research, I decided to have zygoma reduction surgery in Korea, which is a very popular procedure for people with a wide face. I consulted a few clinics and ended up with a surgeon who seemed extremely knowledgeable and was able to communicate in English. He assured me that there was not going to be sagging after the procedure and convinced me that fixation through plates and screws was going to be unnecessary because he had been doing this surgery for decades and never ever had a complication. He was adamant against using screws and plates. I stupidly booked the flight to Korea and, to make a very long story short, the day of the surgery was the scariest experience of my whole life. I have had other procedures in the US and have never been so scared. The operating room was dirty and the minute I was passing out and being unable to breath I literally thought I was never going to wake up anymore. Super scary. The anesthesiologist was the secretary and driver. This person did all things for the doctor. Never had such a scary experience before. Anyway, I woke up and I was very, very bruised and swollen. Much more bruised than what I was expecting. The swelling and bruising lasted for months. Even 3 months post op, once I flew back to the US, there was still residual bruising and the facial contours looked irregular, the face started sagging, and my eyes looked droopy. One eye doctor told me that I was having ptosis and scleral show as a result of the facial sagging that was pulling down the lower eyelids. I could also see dents in my facial contours. The surgeon in Korea, with whom I had been e-mailing, prohibited me from having a CAT scan and told me to keep quiet and be positive. He was using scare tactics saying that CAT scans are unnecessary and cause cancer. Day by day, my situation was becoming worse so, finally, I got a referral for a CAT scan from a doctor here in the US and had the cat scan done. What we saw was shocking. I have several gaps in the bones and the bone fragments are very wide apart and are reabsorbing. I have what is called non-union of the fracture. All of this because the surgeon lied to me and was incompetent. When I e-mailed him the CAT scan images, he was still denying and saying that people don't understand zygoma as well as he does and that I will be fine. Then, he tried to put the blame on me saying that he never had a case like this before (lie) and that I must have done something wrong. I am attaching the cat scan images that speak volumes. You can see the gaps and they are getting worse and worse. What I was not informed beforehand, though, is that EVEN if they use plates and screws to close the fractures, the facial sagging still remain because of how they detach the periosteoum. This surgery aged me over 10 years and I am not exaggerating. My facial contours are irregular and unnatural, I no longer have the anatomical shapes of a normal face, I have sagging, ptosis, scleral show, I hear cracking sounds whenever I chew, I look older and deformed... I will need extensive surgery to correct this with a coronal incision (ear to ear), plates and screws, bone grafts. I have been living a nightmare ever since. What I have learned is that a lot of South East Asians surgeons will not tell you the whole story and will use deceiving pictures which NEVER represent reality. When I was in Korea, I saw with my own eyes that they have professional equipment to take pictures from certain lights, certain angles and in most cases they also heavily photoshop.