Abstract
BACKGROUND: Improvements in midfacial rejuvenation have allowed for more predictable and reliable results; however, there are still common problems that can lead to a suboptimal outcome. Specifically, we aim to achieve an appropriate vector of lift, adequate camouflaging of the nasojugal groove, especially medially, as well as to obtain a durable, long-term result. OBJECTIVE: We aim to demonstrate that utilizing bony fixation to obtain midface lift will allow for better control of vector placement as well as lead to a more durable result and, thus, a better long-term outcome. METHODS: We reviewed our series of 12 cases using a new technique of transconjunctival midface lifting alone or in combination with a standard facelift to correct the issues of midface descent and the tear trough deformity. By utilizing a suture technique using bony fixation, we present a technique that addresses all of the above issues while providing a durable, long-term result. RESULT: The result in all cases was rated good to excellent with no eyelid malposition, ectropion, or relapse at the 12-month follow-up visit. The advantages of the technique include (1) achieving a full vertical vector of soft tissue elevation, (2) smoothing the concave lid-cheek junction with local tissue, and (3) durable suspension by utilizing bony fixation. CONCLUSION: The transconjunctival midface lift is a powerful tool in the armamentarium of the facial aesthetic surgeon. Through a simple innovation utilizing bony fixation, a more durable result can be obtained.
Original language | English (US) |
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Pages (from-to) | 987-991 |
Number of pages | 5 |
Journal | Journal of Craniofacial Surgery |
Volume | 24 |
Issue number | 3 |
DOIs | |
State | Published - May 1 2013 |
Keywords
- Ectropion
- Facial aging
- K-wire
- Lagopthalmos
- Midface
- Midface lift
- Midface reconstruction
- Midfacial aging
- Orbitomalar ligament
- Transconjunctival
ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery