Midface-Lifting: Evolution, Indications, and Technique

Hachach‐Haram, Nadine; Kirkpatrick, W.N.A.

doi:10.1055/s-0033-1349366

Cited by 16 publications

(4 citation statements)

References 16 publications

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“…Most experts agree that aging of the midface occurs because of increased tissue laxity with concurrent volume loss of the malar and suborbicularis oculi fat pads. [9][10][11] To more aggressively address midface aging, the extended-SMAS rhytidectomy approaches were developed, which release the SMAS attachments to lift the midface along with the lower face and neck. More recently, a number of minimally invasive approaches to facial aging have become available such as facial fillers, neuromodulator injections, and skin laser resurfacing.…”

Section: Discussionmentioning

confidence: 99%

“…Failure to mobilize the zygomatic and masseteric retaining ligaments tethering the SMAS layer effectively addressed the jowls but leaves the midface and nasolabial folds unaddressed. Most experts agree that aging of the midface occurs because of increased tissue laxity with concurrent volume loss of the malar and suborbicularis oculi fat pads 9–11 . To more aggressively address midface aging, the extended-SMAS rhytidectomy approaches were developed, which release the SMAS attachments to lift the midface along with the lower face and neck.…”

Section: Discussionmentioning

confidence: 99%

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Current Practices and Trends in Midface Rejuvenation

Shehan¹,

Ryll

LeClair

et al. 2023

Ann Plast Surg

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Background: Cosmetic approaches to midface aging are complex and vary in their treatment methodology. The nature of cosmetic surgery limits clinical trial data, forcing surgeons to rely on small studies and professional preferences when choosing an approach. Our study aimed to quantitatively assess national trends in midface rejuvenation practices. Methods: We conducted a cross-sectional study consisting of a survey administered through the American Academy of Facial Plastic and Reconstructive Surgery and the American Society of Plastic Surgeons listservs. To evaluate trends, techniques were grouped into 2 categories: minimally invasive (injectable fillers, fat transfer, fat repositioning) or invasive (deep plane facelift, subperiosteal lift, malar/cheek alloplastic implant, bone grafting/bone advancement). Results: Two hundred thirty-two survey responses were received. Of the total respondents, 46.52% were certified by the American Board of Facial Plastic and Reconstructive Surgery, and 48.26% were certified by the American Board of Plastic Surgery. Minimally invasive techniques were far more preferred (66.67%) over invasive (33.33%) techniques, with injectable fillers as the most common technique (34.88%), followed by fat transfer (20.93%). Deep plane facelift was preferred over subperiosteal lift (18.60% vs 7.91%, respectively). Surgeons board certified by the American Board of Facial Plastic and Reconstructive Surgery were more inclined to perform invasive techniques over those board certified by the American Board of Plastic Surgery ( P = 0.0427). Conclusion: This study quantitatively assessed national trends in cosmetic approaches to midface aging. Our data suggest that trends among surgeons across the United States have shifted toward favoring minimally invasive techniques over more invasive approaches.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Current Practices and Trends in Midface Rejuvenation

Shehan¹,

Ryll

LeClair

et al. 2023

Ann Plast Surg

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“…The LTS is a natural part of the cheek-midface lift technique. The cheek-midface lift is a popular technique for facial rejuvenation in esthetic surgery ( 49 ). Also, some reconstruction indications have been described, e.g., for cicatricial ectropion after lower eyelid blepharoplasty or for severe ectropion with a negative vector ( 50 – 52 ).…”

Section: Methodsmentioning

confidence: 99%

The role of the lateral tarsal strip procedure in modern ophthalmic plastic surgery—A review

Kopecký

Rokohl²,

Heindl³

2022

Front. Ophthalmol.

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IntroductionThe lateral tarsal strip is one of the basic surgical techniques in ophthalmic plastic surgery. It is used in many indications, predominantly in ectropion repair. Even though there are alternatives, it is probably one of the most popular techniques in ophthalmic plastic surgery. The lateral tarsal strip is also part of bigger surgical procedures (such as midface lifting, entropion surgery, reconstruction surgery, or a part of some surgical approaches to the orbit). The aim of this review is to assess the most common ways of usage of the lateral tarsal strip, to cover its alternatives, and to discuss the future of this technique.MethodsWe have search PubMed and Web of Science and went through articles about lateral tarsal strip. We have also searched for other techniques that used the lateral tarsal strip and included these articles in our review. We have analyzed the major articles and made a review about the topic.ResultsAs a natural part of many advanced surgical techniques and as a major surgical technique for lower eyelid ectropion repair, the lateral tarsal strip remains an important part of modern ophthalmic plastic surgery.

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“… 15 Reports of more or less serious complications are also increasing in number, however, even in the case of safe molecules such as hyaluronic acid. 16 – 18 …”

Section: Introductionmentioning

confidence: 99%

Rehabilitation with implant-retained removable dentures and its effects on perioral aesthetics: a prospective cohort study

Lupi

Cislaghi

Rizzo

et al. 2016

CCIDE

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BackgroundThe onset of perioral wrinkles often prompts patients to request treatment. This aesthetic deterioration linked to aging may be associated with tooth and alveolar bone loss in fully edentulous patients.PurposeTo evaluate perioral wrinkles before and after maxillary and mandibular rehabilitation with implant-retained dentures in fully edentulous patients.MethodsIn this prospective cohort, single-center, blinded study, patients requiring maxillary and mandibular rehabilitation with implant-retained dentures were enrolled. The patients were photographed in the same position before and after oral rehabilitation. Wrinkles were evaluated in the photographs by blinded observers using validated rating scales. The following parameters were analyzed: upper and lower radial lip lines, marionette lines, upper and lower lip fullness, nasolabial folds, corner of the mouth lines, and the labiomental crease. Statistical analysis was performed using the Wilcoxon signed ranks test for paired data, with P<0.05 considered significant.ResultsUpper and lower implant-retained dentures were applied in 31 patients (15 males; mean ± standard deviation age 62.13±8.69 years, range 47–77 years). The oral rehabilitation procedures significantly improved (P<0.05) the upper and lower radial lip lines, marionette lines, upper and lower lip fullness, the nasolabial folds, and the corner of the mouth lines.ConclusionMaxillary and mandibular rehabilitation with implant-retained dentures in fully edentulous patients improves perioral aesthetics. Patients requiring oral rehabilitation and desiring perioral aesthetic improvement could benefit from treatment with this type of prosthesis.

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Midface-Lifting: Evolution, Indications, and Technique

Cited by 16 publications

References 16 publications

Current Practices and Trends in Midface Rejuvenation

Current Practices and Trends in Midface Rejuvenation

The role of the lateral tarsal strip procedure in modern ophthalmic plastic surgery—A review

Rehabilitation with implant-retained removable dentures and its effects on perioral aesthetics: a prospective cohort study

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