Current concepts in midfacial rejuvenation

Abstract

Cadaver dissection and clinical observation have recently been used to further define the complex anatomy of the aging midface. New developments in both minimally invasive and open surgical procedures continue to both advance and redefine the field.

Optimizing the tissue anchoring performance of barbed sutures in skin and tendon tissues

“…The literature also contains reports describing how the tissue holding capacity (Ingle et al, 2004) and the in vivo biostability of barbed sutures (Leung, 2004) depends on the microstructure of the polymer from which they are made. Currently they are used successfully for sub-dermal wound closure and for tendon repair in human patients (O'Broin et al, 1993;McKenzie, 1967), and by cosmetic surgeons to undertake facelift and masklift procedures (Prado et al, 2008;Michael et al, 2008;Downs and Wang, 2008;Ruff, 2006).…”

Reduction Malarplasty With Face-Lift for Older Asians With Prominent Zygoma

“…With aging, the malar fat pad becomes loose and thin and gradually slides downward, resulting in a crescent-shaped hollow in the infraorbital region and in deepening of the nasolabial fold. [9][10][11] Further, reduction of zygoma alone has found an incidence of cheek descent postoperatively. 12 Cheek descent was primarily caused by the subperiosteal dissection and relative excessive soft tissue envelope after malar reduction.…”

Implants in facial skeletal augmentation

“…Consequently, inadequacy and/or malposition of the skeletal and/or soft-tissue components can lead to undesirable midfacial features. Numerous tools and techniques have been described as methods of augmenting the midface [13]. As with mandibular augmentation, correct diagnosis yields the most efficacious solution [14 & ].…”