179 results match your criteria Facelift Subperiosteal

Endoscopic Brow Lift.

Clin Plast Surg 2022 Jul;49(3):357-363

Cleveland Clinic Department of Plastic Surgery, Desk A 60, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

This article discusses the physiology of brow ptosis and compares how depressor muscle alteration combined with wide subperiosteal undermining leads to its correction. A detailed description and a series of videos illustrate the endoscopic technique. Long-term before and after photographs demonstrate the efficacy of the procedure. Read More

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Vertical Space Lift: Transcutaneous Lower Blepharoplasty, Subperiosteal Midface Lift, and Lower Face Lift: A Novel Technique of Buccal Fat Suspension to Medial Infraorbital Rim.

Hadi Nural

Aesthet Surg J Open Forum 2022 Jan 15;4(1):ojab038. Epub 2021 Dec 15.

Background: Despite traditional facelift and transtemporal endoscopic facelift techniques are used in treatment of mid face ptosis, they do not have a big impact on the midface area. Lower blepharoplasty techniques are effective to provide rejuvenation on nasojugal area, midface ptosis and tear trough deformity. Additionally, it is also possible to correct the lower face area and jowls with lower blepharoplasty. Read More

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January 2022

The Selection of Facelift Approach on the Basis of Midfacial Ptosis.

Facial Plast Surg 2021 Apr 3;37(2):149-159. Epub 2021 Mar 3.

PLLC-Otolaryngology Division, Rochester, New York.

Facial aging in the midface has been described to encompass both soft tissue descent and volumetric change. Currently, there is no established and widely accepted grading system for midfacial ptosis. We propose a simplified grading system for midfacial ptosis ranging from mild to severe in terms of Grades I through III. Read More

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Trinity Lift: A Unique Technique for Endoscopic Midface and Lower Periorbital Unit Lift.

Aesthetic Plast Surg 2021 06 15;45(3):992-1001. Epub 2021 Jan 15.

Ozgur Pilanci Private Clinic, Istanbul, Turkey.

Introduction: A harmonious face is defined in terms of a balanced relationship among all facial tissues. This balance among skin, fat, muscle, and bone is lost with aging as progressive changes occur in their volume, shape, position, and consistency. Aging of the human face generally starts in the third decade of life, mainly in the midface and periorbital areas. Read More

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Midface Lift Plus Lipofilling Preferential in Patients with Negative Lower Eyelid Vectors: A Randomized Controlled Trial.

Aesthetic Plast Surg 2021 06 22;45(3):1012-1019. Epub 2020 Sep 22.

Plastic and Reconstructive Surgery Unit, Campus Bio-Medico University of Rome, Via Alvaro Del Portillo 200, Rome, Italy.

Introduction: In conducting this study, it was our presumption that lipofilling is a necessary and simultaneous adjunct to lifting the middle third of the face in patients with negative lower eyelid vectors, enabling satisfactory and enduring aesthetic results.

Materials And Methods: Eligible patients met the following criteria: (1) primary midface lift in subperiosteal plane; (2) negative inferior eyelid vectors at preoperative baseline; (3) postoperative monitoring for ~ 2 years; (4) standard pre- and postoperative photo-documentation; (5) proficiency in Italian language; and (6) signed consent for study participation. Informed consent pertaining to photography allowed for subsequent publication. Read More

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The Facelift in South American Patients.

Facial Plast Surg 2020 Aug 31;36(4):416-429. Epub 2020 Aug 31.

Department of Otolaryngology and Facial Plastic Surgery, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil.

South America is a vast territory; its people were made from all parts of the world. The miscegenation made a unique population comprised of Indian, Asian, Caucasian, African, Mestizo, Mulatto, and Zambo. The South American patients tend to have a wider face with a skin-soft tissue envelope (S-STE) that is thicker, heavier, and has less elasticity than the Caucasian patient. Read More

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Consideration of Nasal Contour in Endoscopic Forehead Rejuvenation.

Facial Plast Surg Aesthet Med 2021 Mar-Apr;23(2):98-102. Epub 2020 Jul 10.

TOC Eye and Face, Austin, Texas, USA.

Preliminary studies have suggested an improvement in nasal aesthetics after endoscopic forehead lifting. We aimed to assess subjective and objective changes in nasal contour after minimally invasive forehead rejuvenation. We performed a retrospective review of patients who underwent endoscopic forehead lifting by four surgeons at a single surgery center from 2004 to 2018. Read More

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Nuances in Superficial Musculoaponeurotic System Rhytidectomy.

Facial Plast Surg Clin North Am 2020 Aug;28(3):285-301

Surgery, Facial Plastic Surgery, Rousso Facial Plastic Surgery Clinic, 2700 Highway 280, Suite 300 West, Birmingham, AL 35223, USA.

Rhytidectomy techniques have evolved since the early 1900s. As the understanding of facial anatomy and the aging process expanded, the superficial musculoaponeurotic system (SMAS) became a focal point in developing longer-lasting, natural results. Further evolution led to various approaches in repositioning the SMAS layer, including subperiosteal, composite, and deep plane rhytidectomies. Read More

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Enhancing Facelift With Simultaneous Submalar Implant Augmentation.

Aesthet Surg J 2019 03;39(4):351-362

Division of Facial Plastic Surgery, Department of Otorhinolaryngology, Head and Neck Surgery, McGovern Medical School, University of Texas Health Science Center, Houston, TX.

Background: The midface is particularly prone to the senescent changes of soft tissue ptosis and volume loss, which in individuals with aging or low adiposity can manifest as submalar hollowing. Facelift alone in those with submalar hollowing inadequately addresses the volume loss and may result in a gaunt appearance postoperatively. Submalar implant augmentation is a powerful tool for permanent midface volume restoration for a more youthful and natural contour, as opposed to soft tissue fillers that diminish over time. Read More

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Buccal fat pad and subperiosteal midface lifts in conjunction with open reduction and internal fixation to treat fractures of the zygomaticomaxillary complex.

Br J Oral Maxillofac Surg 2018 04 2;56(3):230-231. Epub 2018 Feb 2.

St George's Hospital, Blackshaw Rd, London SW17 0QT, UK. Electronic address:

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Reconstructive subperiosteal midface lift: A three nonvisible incision approach.

Orbit 2017 Oct 5;36(5):256-263. Epub 2017 Jul 5.

c Colmenero Clinic , Madrid , Spain.

This article describes our surgical technique for subperiosteal midface elevation in patients with paralytic lower eyelid malposition or cicatricial inferior eyelid retraction. Nineteen patients with paralytic lower eyelid malposition and 15 patients with cicatricial inferior eyelid retraction underwent a subperiosteal midface lift (n = 34). The procedure was performed under local anesthesia through three nonvisible incisions. Read More

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October 2017

The subperiosteal, drill hole, midface lift.

Orbit 2016 Oct 3;35(5):250-3. Epub 2016 Aug 3.

a Department of Ophthalmology and Visual Sciences , University of Iowa Hospitals and Clinics , Iowa City , Iowa , USA.

This article describes a surgical technique using drill holes through the inferior orbital rim and fixation with permanent sutures as a functional subperiosteal midface lift and compares it to other standard midface elevation techniques. This was a retrospective, comparative, non-randomized study. Charts of all patients undergoing midface elevation between 2009 and 2013 were reviewed. Read More

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October 2016

Endoscopic facelift of the frontal and temporal areas in multiple planes.

Singapore Med J 2017 Feb 19;58(2):107-110. Epub 2016 Feb 19.

Plastic Surgery Department, China Japan Friendship Hospital, Beijing, China.

Introduction: The detachment planes used in endoscopic facelifts play an important role in determining the results of facial rejuvenation. In this study, we introduced the use of multiple detachment planes for endoscopic facelifts of the frontal and temporal areas, and examined its outcome.

Methods: This study included 47 patients (38 female, 9 male) who requested frontal and temporal facelifts from January 2009 to January 2014. Read More

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February 2017

Specificity of facelift surgery, including mid facelift, in case of facial palsy.

C Le Louarn

Ann Chir Plast Esthet 2015 Oct 16;60(5):454-61. Epub 2015 Sep 16.

59, rue Spontini, 75116 Paris, France. Electronic address:

The asymmetry created by the facial palsy is of course a cause of demand for facelift surgery. As this lifting action is specific and different from the standard procedures, 3 zones of analysis are proposed: first the frontal and temporal areas with the direct eyebrow lift, second the neck and jawline with action on the depressor anguli oris for the non-paralyzed side and the anterior sub SMAS dissection and third the midface. A new and more simple technique of concentric malar lift is proposed. Read More

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October 2015

Endoscopic midfacial rejuvenation.

Facial Plast Surg Clin North Am 2015 May;23(2):201-8

Division of Otolaryngology and Head-Neck Surgery, Department of Surgery, Albany Medical College, Albany, NY 12209, USA; Department of Facial Plastic and Reconstructive Surgery, Williams Center for Excellence, 1072 Troy Schenectady Road, Latham, NY 12110, USA. Electronic address:

Early facial rejuvenation focused largely on the upper and lower thirds of the face. More recently, improvements in understanding of midfacial aging and anatomy have paralleled the development of endoscopic and minimally invasive surgical techniques. The midface is now understood to include both the lower lid subunit and the cheek down to the nasolabial fold. Read More

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Biplanar superficial musculoaponeurotic system imbrication rhytidectomy.

Facial Plast Surg 2014 Aug 30;30(4):380-93. Epub 2014 Jul 30.

Ear, Nose, & Throat Surgeons of Western New England, Springfield, Massachusetts.

Rhytidectomy techniques have evolved significantly since the procedure's introduction in the early 20th century. Significant advancements in rhytidectomy techniques occurred in the 1960s and 1970s with the description of the subfascial rhytidectomy, the identification of the superficial musculoaponeurotic system (SMAS), and development of the SMAS flap. The incorporation of fascial undermining and suspension techniques have significantly improved the longevity and natural appearance of the facelift operation. Read More

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Intraoral zygoma reduction using L-shaped osteotomy.

J Craniofac Surg 2014 May;25(3):758-61

From the *Dr. Hong's Aesthetic and Plastic Clinic; †Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University; ‡Department of Plastic and Reconstructive Surgery, Eulji General Hospital, College of Medicine, Eulji University; and §Eulji Medi-Bio Research Institute, Eulji University, Seoul, Republic of Korea.

Background: Because of the various defects of malarplasty, including a large incision, much bleeding, visible scars after the operation, and so on, caused by the conventional coronal incision or the temporal incision with the intraoral incision approach, the malarplasty by simple intraoral approach is an innovative development.

Methods: Through the intraoral approach and subperiosteal dissection, we can reach the osteotomy point on the zygomatic body directly and arrive at the osteotomy point at the zygomatic arch end along the medial side of the zygoma. A new L osteotomy is applied with the reciprocating saw. Read More

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Experimental model for the study of soft tissue fixation methods on skin-pericranium flaps in rats.

Acta Cir Bras 2013 Oct;28(10):696-702

Purpose: To develop an experimental model to study and radiologically monitor displacement of skin flaps in the pericranium of rats subjected to traction and surgical fixation using suture anchored in a skull bone tunnel or with N-butyl-2-cyanoacrylate (Histoacryl™) surgical adhesive.

Methods: Radiological markers were placed in the subcutis of Wistar rats undergoing subperiosteal detachment of the pericranium with pulling and fixation of the flap. We performed radiography on postoperative days 3, 7, 14, 21, and 45. Read More

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October 2013

The impact of endoscopic brow lift on eyebrow morphology, aesthetics, and longevity: objective and subjective measurements over a 5-year period.

Plast Reconstr Surg 2013 Aug;132(2):226e-238e

London and Glasgow, United Kingdom From King Edward VII Hospital and the Canniesburn Plastic Surgery Unit.

Background: The longevity of a brow lift, its morphology, and its contribution to overall facial aesthetics have not been addressed in previous studies using both objective measurements and validated subjective aesthetic scoring systems.

Methods: Thirty-one patients with a 5.4-year follow-up after subperiosteal endoscopic brow lift were assessed by (1) objective measurements using computer software, (2) validated regional aesthetic scoring systems, and (3) global aesthetic scoring systems. Read More

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Subperiosteal midface-lift.

Facial Plast Surg 2013 Jun 12;29(3):206-13. Epub 2013 Jun 12.

Division of Facial Plastic, Department of Otolaryngology, Medical School, Federal University of Uberlandia, Uberlandia, MG, Brazil.

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. Read More

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Understanding midfacial rejuvenation in the 21st century.

Facial Plast Surg 2013 Feb 20;29(1):40-5. Epub 2013 Feb 20.

Department of Facial Plastic and Reconstructive Surgery, Williams Center Plastic Surgery Specialists, Latham, New York, New York, USA.

Facial rejuvenation has largely focused on surgical procedures of the lower and upper one thirds of the face. Over the past 15 years, research focus on the midface has given aesthetic facial surgeons more tools to improve the signs of aging. The term midface has been used with various definitions, but includes the lower eyelid subunit beginning at the inferior border of the tarsal plate and cheek, down to the nasolabial fold. Read More

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February 2013

Complications of browlift techniques: a systematic review.

Aesthet Surg J 2013 Feb;33(2):189-200

Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.

Background: There is ongoing debate over which surgical technique is the safest for brow elevation.

Objectives: The authors outline complication rates for a variety of open and endoscopic browlift techniques based on the results of a literature review.

Methods: The following databases were searched to capture relevant studies: MEDLINE, EMBASE, CINAHL, LILACS, Web of Science, Cochrane Libraries, controlled-trials. Read More

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February 2013

Treatment of malar festoon using modified subperiosteal midface lift.

Ophthalmic Plast Reconstr Surg 2012 Nov-Dec;28(6):459-62

University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, Chicago, Illinois, USA.

Purpose: To describe a technique for treatment of malar festoons with partial subperiosteal midface lift, lower eyelid tarsal strips, and orbicularis muscle-skin flaps.

Methods: Retrospective case report.

Results: A 55-year-old Caucasian man developed extensive festoons on both cheeks shortly after deep brain stimulator surgery. Read More

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Foramina on the zygomatic bone: its clinical significance.

Clin Ter 2011 ;162(5):419-21

Department of Anatomy, Kasturba Medical College, Manipal University, Mangalore 575004, India.

Aim: To study the anatomy of zygomatico-orbital, zygomatico-facial and zygomatico temporal foramina in south Indian population.

Materials And Methods: 50 dry adult skulls of south Indian origin were studied. The number of ZO, ZF and ZT were recorded on each side. Read More

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Temporal augmentation with methyl methacrylate.

Aesthet Surg J 2011 Sep;31(7):827-33

Division of Plastic & Reconstructive Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA.

Concavity in the temporal area reflects a deficiency in the bulk of the temporalis muscle or overlying temporal fat pad. It may be a reflection of senescence, low body fat, exaggerated adjacent skeletal or soft-tissue contours, idiopathic progressive atrophy, or postsurgical deformities. The authors describe the application of methyl methacrylate (MMA) to fill depressions in the temporal area. Read More

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September 2011

Subperiosteal midface lift: its role in static lower eyelid reconstruction after chronic facial nerve palsy.

Orbit 2011 Jun;30(3):140-4

Sperino Eye Hospital, Oculoplastic Service, Turin, Italy.

Purpose: To describe the effect of subperiosteal midface lift on lower eyelid position of patients with chronic facial nerve palsy.

Methods: In an observational prospective study nine patients underwent subperiosteal midface lift. Indications for surgery were lower eyelid paralytic retraction, lagophthalmos, ocular surface disruption, reactive tearing, midface ptosis, and facial asymmetry. Read More

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Vertical subperiosteal mid-face-lift for treatment of malar festoons.

Aesthetic Plast Surg 2011 Aug 17;35(4):522-9. Epub 2011 Mar 17.

University Hospital and Medical School of Goettingen, Robert-Koch-Street 40, 37075 Goettingen, Germany.

Background: Malar mounds may be accentuated by chronic lid edema, with the development from malar edema to malar mounds and finally to malar festoons. Because standard techniques do not seem effective and not specifically proposed for the treatment of malar festoons, subperiosteal vertical upper-midface lift associated with lower blepharoplasty overcomes these shortcomings.

Methods: Twelve patients (3 males and 9 females, age = 47 ± 6 years) underwent video-assisted endoscopic subperiosteal vertical upper-midface lift (SUM-lift) in conjunction with a lower blepharoplasty between 2006 and 2007 for treatment of malar festoons. Read More

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A novel technique for repositioning lower eyelid fat via the transoral approach in association with midface lift.

M Mark Mofid

Aesthetic Plast Surg 2011 Aug 27;35(4):563-8. Epub 2011 Feb 27.

Division of Plastic Surgery, University of California San Diego, 4150 Regents Park Row Suite #300, La Jolla, San Diego, CA 92037, USA.

Background: Orbital fat repositioning in association with subperiosteal midface elevation has been variably described via both the transconjunctival and skin muscle flap approaches. Poor visualization, middle and posterior lamellar cicatricial fibrosis, technical difficulty, and incomplete release are disadvantages commonly ascribed to the transconjunctival approach. Lower eyelid malposition and retraction also are commonly seen in association with skin muscle flap approaches. Read More

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Contemporary deep plane rhytidectomy.

Facial Plast Surg 2011 Feb 18;27(1):124-32. Epub 2011 Jan 18.

Department of Otolaryngology-Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, University of California-Davis, Sacramento, California, USA.

Many face-lift variations have been described including short skin flap, long skin flap, superficial musculoaponeurotic system flap, deep plane, composite flap, and subperiosteal face-lifts. Each technique offers its set of advantages and disadvantages. Theoretical benefits include a more optimal treatment of the midface, nasolabial fold, and periorbital area. Read More

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February 2011