Understanding the Finger-Assisted Malar Elevation Technique in Face Lift

Ferreira, Lydia Masako; Horibe, Elaine K.

doi:10.1097/01.prs.0000233050.10568.66

Cited by 19 publications

(3 citation statements)

References 25 publications

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“…The malar unit of the face is anchored to the point where the zygomatic bone meets the lateral wall of the orbit. At this point the periosteum can be grabbed without further dissection [10,14,[16][17][18][19]. The third point of anchoring is the firm mastoid periosteum just above the insertion of the muscle.…”

Section: Periosteal Anchoringmentioning

confidence: 98%

Triple-Anchoring Sub-SMAS Face-lift

Basile

2012

Aesth Plast Surg

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Section: Periosteal Anchoringmentioning

confidence: 98%

Triple-Anchoring Sub-SMAS Face-lift

Basile

2012

Aesth Plast Surg

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“…[2][3][4] Multiple retention ligaments have been described for the development of facial surgical anatomy, with better surgical results being achieved when these are dissected and freed. [5][6][7][8][9][10][11][12][13] The development of hematoma is one of the most important complications of facial surgery, with a reported incidence of 1%-8%. [14][15][16][17] Moreover, significant intraoperative bleeding can lead to severe local and systemic complications.…”

Section: Introductionmentioning

confidence: 99%

“…2–4 Multiple retention ligaments have been described for the development of facial surgical anatomy, with better surgical results being achieved when these are dissected and freed. 5–13…”

Section: Introductionmentioning

confidence: 99%

Safety and Outcomes in Multiplane Facial Rejuvenation with Tranexamic Acid: A Cohort Study

Ziegler Rodríguez,

De la Cruz Ku,

Chávez Díaz

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Tranexamic acid (TXA) has demonstrated promising outcomes in plastic surgery. Our aim was to assess the effect of TXA in intraoperative bleeding, operative time, and complications among patients undergoing facial surgical procedures. Methods: A retrospective cohort study of patients who underwent multiplane facial rhytidectomy from January 2018 to September 2022 at the Clinica Ziegler, Lima, Peru. Patients were divided into two groups according to the use of intravenous plus local infiltration of TXA. We performed the chi square test to assess associations among categorical variables, the Student t test and Mann–Whitney U test for categorical with continuous variables, and Pearson correlation for quantitative variables. Results: A total of 100 patients were included with 50 patients in each group. The median age was 59.5 years and the majority were women (88%). The median operative time was 288.5 minutes. The TXA group presented less intraoperative bleeding (40 versus 90 mL, P < 0.05) and shorter operative time (237 versus 353 minutes, P < 0.05); no differences in the development of hematoma (2% versus 12%, P = 0.11), less ecchymosis (2% versus 36%, P < 0.05), edema (2% versus 100%, P < 0.05), and time to drain removal (3 versus 6 days, P < 0.05). Conclusions: TXA improves the short- and long-term outcomes of patients who undergo multiplane facial rhytidectomy. It also decreases intraoperative bleeding by more than half and reduces the operative time by one third. Moreover, patients receiving TXA presented significantly less ecchymosis, edema, and time to drain removal.

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Facial Rejuvenation with SMASectomy and FAME Using Vertical Vectors

et al. 2008

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The quest for better results in the midface after a face lift has led to the repositioning of a structure called the malar fat pad. Finger-assisted malar elevation (FAME) consists of detaching the malar fat pad from the underlying SMAS, which allows for the elevation of this structure. Two hundred five patients (189 females and 16 males) from January 2002 to August 2007 underwent a facial rejuvenation procedure comprising short-scar rhytidoplasty, SMASectomy, and FAME, with or without a simultaneous endobrow, blepharoplasty, and lipofilling. The midface fixation technique consisted of a stitch from the malar fat pad and SMAS flap to the periosteum at the zygomatic arch which was performed in every case. Elevation of the midface and improvement of the nasolabial fold and the mandible contour were obtained in all cases. Facial aging should be evaluated as a global process instead of a segmented one. Aging occurs in every structure of the face in different ways, depending on the vector of descent, thereby treatment must be individualized. We have observed improvement of the midface when using the FAME procedure in a rhytidoplasty with SMASectomy with deep fixation.

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Understanding the Finger-Assisted Malar Elevation Technique in Face Lift

Cited by 19 publications

References 25 publications

Triple-Anchoring Sub-SMAS Face-lift

Triple-Anchoring Sub-SMAS Face-lift

Safety and Outcomes in Multiplane Facial Rejuvenation with Tranexamic Acid: A Cohort Study

Facial Rejuvenation with SMASectomy and FAME Using Vertical Vectors

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