Dr. Joaquin Ayala Del Muro has performed 900+ cheekbone reductions with a zero complications record. The all-inclusive package may cost around $9,600 USD – covering pre-op tests, surgery, anesthesia, 1 night hospitalization, medications, and local transport. Board-certified with fellowship training under Ivy Pitanguy in Brazil, Dr. Ayala specializes exclusively in facial plastic surgery. Hospital de la Familia is accredited by Consejo Mexicano de Oftalmología and located 200 yards from the US border.
Hospital de la Familia is a boutique medical facility 200 yards from the US-Mexico border. It specializes in gastroenterology, cardiac surgery, and neurosurgery. The hospital is accredited by the General Health Council of Mexico.
Advance Health Medical Center is a multispecialty facility in Tijuana, Mexico. The center focuses on plastic surgery, orthopedics, and bariatric surgery. Its surgical setup includes three operating rooms and an endosuite. The clinic also offers gender reassignment surgery with over 10 years of experience. A dedicated recovery house supports patients after surgery.
The medical team has over 15 years of experience with international patients. Orthopedic specialists bring 36 years of combined experience. Dr. Erik Márquez won first place in an international plastic surgery residents competition. Specialists are members of the American Society of Plastic Surgeons and FILACP. All-inclusive logistics cover transport from San Diego Airport and accommodation.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1844,"alias":"advance-medical-center","name":"Advance Health Medical Center","short_description":"Advance Health Medical Center is a multispecialty facility in Tijuana, Mexico. The center focuses on plastic surgery, orthopedics, and bariatric surgery. Its surgical setup includes three operating rooms and an endosuite. The clinic also offers gender reassignment surgery with over 10 years of experience. A dedicated recovery house supports patients after surgery.
The medical team has over 15 years of experience with international patients. Orthopedic specialists bring 36 years of combined experience. Dr. Erik Márquez won first place in an international plastic surgery residents competition. Specialists are members of the American Society of Plastic Surgeons and FILACP. All-inclusive logistics cover transport from San Diego Airport and accommodation.
","images":[{"base_url":"clinic/6a75ee5576b31","title":"Modern facade of CORE Medical & Surgical Center in Mexico"},{"base_url":"clinic/6a75ee573bec7","title":"Reception and waiting area at Advance Health Medical Center with modern seating"},{"base_url":"clinic/6a75ee58edce0","title":"Main entrance of Advance Health Medical Center with modern exterior in Mexico"},{"base_url":"clinic/6a75ee5a8ba23","title":"Waiting area at Advance Health Medical Center with modern seating and large windows"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Mexico","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Tijuana","id":396,"alias":"tijuana"},"address":"Calle Diego Rivera 2339-101, Zona Rio, CP 22010, Tijuana, BC, Mexico"},"rating":{"rating":5,"google":4.3,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":5,"doctors_number":3},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Marco Polo Plastic Surgery Clinic is a private single-specialty center in Zapopan, Mexico. It focuses on plastic surgery, aesthetic medicine, cosmetology, and hand surgery for adults and children. The clinic is certified by both the Mexican Association and the Mexican Council of Plastic Surgery.
Dr. Marco Polo Plastic Surgery Clinic is a private single-specialty center in Zapopan, Mexico. It focuses on plastic surgery, aesthetic medicine, cosmetology, and hand surgery for adults and children. The clinic is certified by both the Mexican Association and the Mexican Council of Plastic Surgery.
Dr. Joaquin Ayala Del Muro is a board-certified plastic surgeon at Hospital de la Familia. He is best known for complex facial rejuvenation and body contouring procedures. Dr. Ayala Del Muro completed a fellowship in Brazil under the late Ivo Pitanguy. He maintains a medical record with zero lawsuits or patient deaths.
Hospital de la Familia is a boutique medical facility 200 yards from the US-Mexico border. It specializes in gastroenterology, cardiac surgery, and neurosurgery. The hospital is accredited by the General Health Council of Mexico.
The best cheekbone reduction clinics in Mexico are accredited by the CMCPER, upholding high clinical standards in cities like Mexicali and Zapopan. According to Bookimed’s ranking, the top clinics are [clinic_1] and [clinic_2]. They stand out for board-certified specialists, membership in the Asociación Mexicana de Cirugía Plástica, and serving international patients. When choosing a provider, look for CMCPER certification, national surgical board credentials, and proven patient care. Always consult a qualified plastic surgeon before making a decision.
"}},"texts":{}},"relations":{"countries":[{"name":"Albania","alias":"albania","iso_code":"AL"},{"name":"Brazil","alias":"brazil","iso_code":"BR"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Czech Republic","alias":"czech-republic","iso_code":"CZ"},{"name":"Egypt","alias":"egypt","iso_code":"EG"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Mexico","alias":"mexico","iso_code":"MX"},{"name":"Republic of Korea","alias":"republic-of-korea","iso_code":"KR"},{"name":"Spain","alias":"spain","iso_code":"ES"},{"name":"Switzerland","alias":"switzerland","iso_code":"CH"},{"name":"Thailand","alias":"thailand","iso_code":"TH"},{"name":"Turkey","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"},{"name":"United 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softer look; it\"s safe, effective, and customizable.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":7,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Dr. Ergin Er is a plastic, reconstructive and aesthetic surgeon who has performed more than 10,000 aesthetic procedures. He is a multiple award winner at Turkish National Congresses of Plastic Surgery and completed advanced training at Baylor College of Medicine in Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":10,"max":21,"unit":"days","qualifier":"Desk-based work after intraoral osteotomy cheekbone (zygoma) reduction; visible swelling and bruising often persist longer."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication within 6 months, mostly transient numbness, asymmetry or infection; serious ones under 3%."},"contraindications":["Active infection in the face, mouth or sinuses","Uncontrolled systemic disease or unfitness for general anesthesia","Bleeding disorders or inability to safely stop anticoagulants","Pregnancy","Untreated body dysmorphic disorder","Smoking or nicotine use (relative; impairs healing)","Skeletal immaturity (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical short hospital stay for observation after intraoral zygomatic osteotomy under general anesthesia."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Strenuous exercise and contact activities after bone healing is confirmed by the surgeon; light walking earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually and soft tissue redrapes over the new bone contour."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After first wound check and surgeon clearance; swelling, bruising and limited mouth opening may extend the stay."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"First postoperative check of intraoral wounds and swelling, before flight home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":45,"unit":"days","qualifier":"Assessment of bone healing and facial symmetry, possibly with imaging."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of final contour once swelling has settled."}}],"indications":["Prominent or wide cheekbones causing a broad or angular mid-face","Facial width disproportion or asymmetry of the zygomatic region"],"main_risks":["Swelling and bruising","Bleeding or hematoma","Infection","Asymmetry or under/over-correction","Bone nonunion or malunion","Facial nerve or infraorbital nerve injury with numbness","Soft-tissue sagging of the cheeks","Temporary difficulty opening the mouth","Risks of general anesthesia"],"pain":"Moderate pain and facial tightness for the first several days, usually controlled with oral analgesics; swelling and numbness may persist for weeks.","preparation":["Surgical consultation with 3D CT or facial imaging and planning","Preoperative medical assessment and blood tests","Stop smoking and nicotine as advised before and after surgery","Fasting before general anesthesia","Arrange adult support and transport after discharge","Oral hygiene preparation since the approach is intraoral"],"recovery_timeline":[{"phase":"Days 0-3","description":"Hospital observation, peak swelling and bruising, liquid diet, cold compresses and head elevation.","restrictions":["No chewing hard food","Sleep with head elevated"]},{"phase":"Days 4-14","description":"Swelling gradually decreases; soft diet, oral rinses, return to light desk work toward the end of this period.","restrictions":["Avoid pressure on the cheeks","No strenuous activity","Avoid wide mouth opening"]},{"phase":"Weeks 3-6","description":"Residual swelling and numbness improve; diet gradually advances.","restrictions":["Avoid contact sports and heavy exercise","Avoid blows to the face"]},{"phase":"Months 3-6","description":"Bone fully consolidates and final contour becomes apparent.","restrictions":[]}],"rehabilitation_days":{"min":10,"max":21,"unit":"days","qualifier":"Ordinary functional recovery of eating, speaking and daily activities after intraoral reduction; no formal physiotherapy normally needed."},"result_longevity":"Bone reduction is generally permanent, though ongoing facial aging changes the soft tissue appearance over time.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Secondary surgery for asymmetry, under/over-correction, nonunion or sagging within 2 years."},"scars":"Usually no visible scars with the intraoral approach; incisions are inside the mouth. External incisions (e.g., coronal or preauricular) are less common and leave hidden scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Zygomatic osteotomy and fixation under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of surgery."}}],"qualifier":"One operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with facial contour","value":85,"unit":"percent","horizon":"6 months after surgery","population":"Adults with prominent cheekbones after intraoral zygomatic osteotomy","evidence_status":"limited"},"techniques":[{"name":"Intraoral zygomatic body/arch osteotomy (L-shaped or I-shaped) with fixation","suits_whom":"Patients with prominent zygomatic body and arch, the most common approach.","recovery":"Roughly 1-3 weeks for social recovery; bone healing about 6-12 weeks."},{"name":"Intraoral burring (bone shaving) of the malar prominence","suits_whom":"Mild prominence where limited reduction is sufficient.","recovery":"Somewhat shorter swelling course; no bone fixation needed."},{"name":"Preauricular or coronal incision approach for arch osteotomy","suits_whom":"Cases needing arch access or greater correction.","recovery":"Longer swelling; hidden external scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Bilateral intraoral zygomatic reduction operating time, excluding anesthesia induction and recovery."},"initial_assessment_documents":["Front, both oblique and side face photos","Top-down and bottom-up face photos","Facial or skull CT scan (if available)","Panoramic dental X-ray (OPG)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days for observation and first wound check. Later reviews can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check: book a consultation with the person who will perform the procedure before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check: the surgeon's experience of this specific procedure","scope":"treatment_type","source":{"url":"https://bapras.org.uk/public/patient-information/think-over-before-you-make-over/things-to-consider-before-choosing-cosmetic-surgery","host":"bapras.org.uk","quote":"Find out about their experience of the procedure you are considering","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check: how often each complication occurs and how it will be handled","scope":"treatment_type","source":{"url":"https://bapras.org.uk/public/patient-information/cosmetic-surgery/what-to-ask-your-surgeon","host":"bapras.org.uk","quote":"Find out what they are, how often they occur, and how they will be handled if they do occur.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check: the qualifications of the medical team who will treat you abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical 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copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"technique_details":{"status":"ok","items":[{"id":"intraoral-zygomatic-body","name":"Intraoral zygomatic body/arch osteotomy (L-shaped or I-shaped) with fixation","how_it_works":{"text":"The cut cheekbone is pushed inward and upward","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4025629/","host":"pmc.ncbi.nlm.nih.gov","quote":"Both sides of the osteotomy line were put together to push the dissociated malar inside and upward.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"intraoral-burring-malar","name":"Intraoral burring (bone shaving) of the malar prominence","how_it_works":{"text":"The cheekbone prominence is ground and filed through an intraoral approach","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/12496618/","host":"pubmed.ncbi.nlm.nih.gov","quote":"The first step is to grind and file the zygomatic body.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":203}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"preauricular","name":"Preauricular or coronal incision approach for arch osteotomy","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/procedure=umensenie-skulovoj-kosti/"}],"questionsAndAnswers":[{"id":"5ed8fa0331e78b0abb286636","question":"What Should You Know about Mexico before the Trip?","answer":"Currency | Mexican peso (you also can pay for services in dollars) |
Best period for the trip | December-April |
Language | Spanish (most of medical staff speaks English fluently) |
Visa | required for some countries |
Time difference with Europe | 7 hours |
Time difference with the USA | 1 hour |
Capital | Mexico City |
Medical tourism center | Mexico City |
Popular resorts | Central and Southern Mexico |
In Mexico, hotels of different price ranges and service levels are presented. Most tourists choose 4 and 5 star hotels with all-inclusive meals. Such hotels have everything for a comfortable stay: varied food, a large well-groomed territory, animation for children and adults. Some hotels have their own water park, which guests can use for free. Budget travelers can afford to book an economical 3-star hotel with half board or no meals at all.
","is_active":true,"created_at":"2020-06-04T13:43:24.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]},{"id":"5ed8fab531e02c46c85d4676","question":"What Documents Are Required to Apply for a Visa to Mexico for Treatment?","answer":"Visas for travel to Mexico require a number of documents. Lists of documents includes: