Abstract
The subperiosteal midface-lift has benefited from significant technological advances
in medicine. The endoscope now allows extensive subperiosteal undermining of facial
soft tissue through minimal access incisions. Improved understanding of facial anatomy
and the facial aging process now allow repositioning and remodeling of the soft tissue
envelope with excellent aesthetic results. The subperiosteal midface-lift by a temporal
approach is a procedure designed to rejuvenate the middle third of the face. After
subperiosteal detachment, the soft tissues of the cheek, jowls, lateral canthus, and
inferior orbital rim can be lifted to reestablish their youthful relationship with
the underlying skeleton. It is a technique that produces satisfactory cosmetic results
in most cases, causing malar augmentation, nasolabial fold improvement, and mild jowl
improvement. We describe our preferred technique in detail and discuss its indications,
complications, advantages, and limitations.
Keywords
facelift - subperiosteal - midface
