1998
DOI: 10.1097/00006534-199811000-00061
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Endoscopic Malar/Midface Suspension Procedure

Abstract: Aging in the midface area is seen with ptosis of the malar tissues, hollowing of the infraorbital area, deepening of the nasolabial and mandibular labial folds, and increased jowling. Some of these aging changes are usually not corrected by a standard SMAS face lift. An endoscope-dependent technique was created specifically to address the midface area. The midface tissues are elevated and released in a subperiosteal manner and then suspended to a higher position after endoscopic dissection of the temporal area… Show more

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Cited by 71 publications
(21 citation statements)
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“…In a demanding aesthetic population, the risks of lower eyelid retraction, frank ectropion, and neuropraxia must be minimized [ 22,23 ] . Lessons learned from subperiosteal face lifting have provided a foundation to manage the midface in functional as well as aesthetic patients [ 19,20,24 ] . The transtemporal subperiosteal approach provides a safe, reliable midface lift, while avoiding many of the limitations and complications of transeyelid techniques (Figs.…”
Section: Discussionmentioning
confidence: 99%
“…In a demanding aesthetic population, the risks of lower eyelid retraction, frank ectropion, and neuropraxia must be minimized [ 22,23 ] . Lessons learned from subperiosteal face lifting have provided a foundation to manage the midface in functional as well as aesthetic patients [ 19,20,24 ] . The transtemporal subperiosteal approach provides a safe, reliable midface lift, while avoiding many of the limitations and complications of transeyelid techniques (Figs.…”
Section: Discussionmentioning
confidence: 99%
“…The lid should be kept on upward traction 1 to 7 days with a frost suture to the lateral eyebrow [28, 29]. Midfacial lifting is beyond the scope of this monograph [30, 31]. …”
Section: Complicationsmentioning
confidence: 99%
“…Perhaps a midface procedure that is done independently of the rest of the facelift could provide better improvement? This technique was initially presented by Anderson and Lo [26] and then furthered by Ramirez [27]. A recent anatomic cadaver study by Jacono and Strong [28] evaluated midface elevation using the deep plane vs. the transtemporal subperiosteal technique.…”
Section: The Midfacementioning
confidence: 99%