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DOI: 10.1055/s-2003-40004
Midfacial Rejuvenation: Personal Experiences and Philosophy
Publikationsverlauf
Publikationsdatum:
24. Juni 2003 (online)
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ABSTRACT
Procedures to rejuvenate the face are constantly evolving. Elevating the midfacial tissues in a vertical direction has gained recent popularity, as it seems to enhance results achieved from more traditional rhytidectomy techniques. Many methods have been described for performing this operation, and the differences among them range from subtle to profound. This article describes my experiences with some of these techniques and explains my personal evolution to the present. It is hoped that the reader will gain insight into the advantages and disadvantages of these surgical techniques and that he or she will be encouraged to explore various methodologies for rejuvenating the midface. The preferred surgical technique that is described herein should also serve as a stepping stone for those readers whose efforts will continue to expand our surgical options and enhance results in the future.
KEYWORDS
Midfacial rejuvenation - midfacial aging - facial rejuvenation
REFERENCES
- 1 Hester T R, Codner M A, McCord C D. The “centrofacial” approach for correction of facial aging using the transblepharoplasty subperiosteal cheek lift. Aesth Surg J . 1996; 16 51-58
- 2 Heinrichs H L, Kaidi A A. Subperiosteal face lift: a 200-case, 4-year review. Plast Reconstr Surg . 1998; 102 843-855
- 3 Hobar P C, Flood J. Subperiosteal rejuvenation of the midface and periorbital area: a simplified approach. Plast Reconstr Surg . 1999; 104 842-851
- 4 Little J W. Three dimensional rejuvenation of the midface: volumetric resculpture by malar imbrication. Plast Reconstr Surg . 2000; 105 267-285
- 5 Ramirez O M, Maillard G F, Musolas A. The extended subperisoteal face lift: a definitive soft-tissue remodeling for facial rejuvenation. Plast Reconstr Surg . 1991; 88 227
- 6 Ramirez O M. Three dimensional endoscopic midface enhancement: a personal quest for the ideal cheek rejuvenation. Plast Reconstr Surg . 2002; 109 329-340
- 7 Yaremchuk M J. Subperiosteal and full-thickness skin rhytidectomy. Plast Reconstr Surg . 2001; 107 1045-1058
- 8 Trepsat F. Volumetric face lifting. Plast Reconstr Surg . 2001; 108 1358-1370
- 9 Hamra S T. The zygorbicular dissection in composite rhytidectomy: an ideal midface plane. Plast Reconstr Surg . 1998; 102 5
- 10 Stuzin J M, Baker T J, Baker T M. Refinements in face lifting: enhanced facial contour using vicryl mesh incorporated into SMAS fixation. Plast Reconstr Surg . 2000; 105 290-301
- 11 Coleman S R. Facial recontouring with lipostructure. Clin Plast Surg . 1997; 24 347
- 12 Keller G S, Namazie A, Blackwell K, Rawnsley J, Khan S. Elevation of the malar fat pad with a percutaneous technique. Arch Facial Plast Surg . 2002; 4 20-25
- 13 Finger E R. A 5-year study of the transmalar subperiosteal midface lift with minimal skin and superficial musculoaponeurotic system dissection: a durable, natural-appearing lift with less surgery and recovery time. Plast Reconstr Surg . 2001; 107 1273-1283
- 14 Hester T R, Codner M A, McCord C D, Nahai F, Giannopoulos A. Evolution of technique of the direct transblepharoplasty approach for the correction of lower lid and midfacial aging: maximizing results and minimizing complications in a 5-year experience. Plast Reconstr Surg . 2000; 105 393-406
- 15 Furnas D. The retaining ligaments of the cheek. Plast Reconstr Surg . 1989; 83 11
- 16 Stuzin J M, Baker T J, Gordon H L. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg . 1992; 89 441
- 17 Delmar H. Anatomy of the superficial parts of the face and neck. Ann Chir Plast Esthet . 1994; 39 527
- 18 Pessa J E, Chen Y. Curve analysis of the aging orbital aperature. Plast Reconstr Surg . 2002; 109 751-755
- 19 Ramirez O M, Santamarina R. Spatial orientation of motor innervation to the lower orbicularis oculi muscle. Aesthet Surg J . 2000; 20 107