Persistent Improvement in Lower Eyelid–Cheek Contour After a Transtemporal Midface Lift

Abstract

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Using injectable fillers for midface rejuvenation

“…Midface surgical options can confer longer-lasting results when compared with midface fillers. In a series of 157 patients undergoing a primary facelift at age < 50, patients reported appearing significantly younger after facelift compared with after nonsurgical intervention (8 years vs. 4 years, P = 0.048) [84] . Thirty-two percent of patients underwent an average of 7 rounds of injectable fillers prior to surgical intervention, with an average expenditure of $7000 on nonsurgical procedures.…”

27 Surgical Approaches to the Midface Complex

“…27.7-27.9). Ransom 19 reported improvement in the eyelid/cheek contour with concomitant transconjunctival lower blepharoplasty and TTML. Disadvantages are risk of injury to the frontal branch of the facial nerve, lateral canthal distortion resulting in an Asian appearance, widening of the intermalar distance with repositioning of the origins of the zygomaticus major and minor muscles to …”

Midface-Lifting: Evolution, Indications, and Technique

“…[12][13][14][15] Disruption of the lower eyelid cheek complex, due to inferior migration of the malar fat pad and the SOOF, results in a "double-contour" deformity of the midface. 15,16 The midface receives its sensory innervation from the zygomaticofacial, infraorbital, and posterior maxillary nerves and its motor innervation from the facial nerve. These nerves are at risk of injury during midfacial dissection.…”