2002
DOI: 10.1097/00006534-200209010-00026
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Surgical Anatomy of the Midcheek and Malar Mounds

Abstract: The anatomy of the midcheek has not been satisfactorily described to adequately explain midcheek aging and malar mounds, nor has it suggested a logical approach to their correction or provided sufficient detail for safe surgery in this area. This cadaver study, which was complemented by many operative dissections, located a missing link: a glide plane space overlying the body of the zygoma. The space functions to allow mobility of the orbicularis oculi, where it overlies the zygoma and the origins of the eleva… Show more

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Cited by 255 publications
(132 citation statements)
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“…1,2 Recent contributions to the literature by Mendelson and colleagues have systematically examined the anatomical structures of the midcheek, malar mounds, lower lids, temple, and periorbital regions. [3][4][5] Byrd suggested the presence of similar structures in the forehead based on his clinical experience and anatomical findings in trauma patients who had sustained severe soft-tissue injuries of the forehead. 6 Ligamentous structures associated with the forehead have previously been described.…”
mentioning
confidence: 99%
“…1,2 Recent contributions to the literature by Mendelson and colleagues have systematically examined the anatomical structures of the midcheek, malar mounds, lower lids, temple, and periorbital regions. [3][4][5] Byrd suggested the presence of similar structures in the forehead based on his clinical experience and anatomical findings in trauma patients who had sustained severe soft-tissue injuries of the forehead. 6 Ligamentous structures associated with the forehead have previously been described.…”
mentioning
confidence: 99%
“…2,[5][6][7] Since that time, there has been a great deal of work looking at the various anatomic relationships of the SMAS and the effect of such treatment to a positive outcome for facial rejuvenation procedures. 8 An underlying goal for all of the various aesthetic procedures should be to avoid any functional injuries. Paramount to all these procedures would be maintaining preservation of the facial nerve.…”
Section: Discussionmentioning
confidence: 99%
“…The intermediate plane corresponds to virtual spaces. For example, the malar and buccal fat pads underlying the superficial musculo-aponeurotic system 19,20 or the intermuscular or interligamentous virtual spaces, represent an intermediate level of injection. Fat micrografts were intentionally not injected inside the muscles so that the muscular dynamics were not disrupted and the amount of resorption due to muscular pump activity was reduced.…”
Section: Methodsmentioning
confidence: 99%