112 results match your criteria traditional midface

Subcutaneous Face and Neck Lift: A Traditional Method With Definite Effects Among Asians.

Aesthet Surg J 2021 Feb 28. Epub 2021 Feb 28.

Department of Plastic and Reconstructive Surgery, Peking University 3rd Hospital, Beijing, China.

Background: The mainstream face lifts in western countries always involve the SMAS treatment. Meanwhile, subcutaneous face and neck lift is wildly applied among Asians.

Objectives: To evaluate outcomes of subcutaneous face and neck lift, including patient-reported and 3D measurement outcomes, and report on details of surgical procedures. Read More

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February 2021

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

Aesthetic Plast Surg 2021 Jan 15. 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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January 2021

Rigid External Distractors in Midface Fractures: A Review of Relevant and Related Literature.

Eplasty 2020 19;20:e11. Epub 2020 Oct 19.

Division of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Introduction: Literature discussing the use of rigid external distraction devices in midfacial trauma is limited. Rigid external distraction devices have been described for use in craniofacial surgery, allowing for distraction and stabilization of bony segments. In complex facial trauma, bony fragments are often comminuted and unstable, making traditional approaches with internal fixation difficult. Read More

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October 2020

Achieving the Optimal Aesthetic Benefit While Correcting Midface Deficiency: Utilizing A High Winged Le Fort I in Cleft and Craniofacial Patients.

J Craniofac Surg 2021 Jan-Feb 01;32(1):46-50

Department of Surgery, Section of Plastic and Reconstructive Surgery.

Abstract: Craniofacial anomalies are congenital disorders that affect the cranium and facial bones, with cleft lip and palate being the most common. These anomalies are often associated with abnormal development of pharyngeal arches and can result in the development of class III malocclusion and severe maxillary retrusion. Current treatment includes orthodontic decompensation and Le Fort I osteotomy to correct the maxillomandibular relationship. Read More

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Botulinum Toxin for Paramedian Interpolated Forehead Flaps.

J Cutan Aesthet Surg 2020 Apr-Jun;13(2):170-172

Division of Dermatologic Surgery, Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

The forehead skin closely resembles the texture and color of the midface region. As such, the use of a paramedian forehead flap to repair a midface defect provides optimal cosmesis; however, the donor forehead site may be left with an undesirable scar in a highly visible region of the face. Cutaneous surgeons possess a variety of traditional techniques intended to minimize scarring. Read More

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Midface distraction osteogenesis using a modified external device and 3D virtual simulation: technical note.

Childs Nerv Syst 2020 08 25;36(8):1781-1784. Epub 2020 Jun 25.

Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo, São Paulo, Brazil.

Introduction/background: Distraction osteogenesis (DO) with an external distraction device such as the rigid external distraction frame has become an established method for treating midface hypoplasia in faciocraniosynostosis. It allows for greater advancement of the midface in comparison with traditional Le Fort III osteotomies, associated or not with fronto-orbital osteotomies (Le Fort IV). However, the forward movement of the bone segments may not always be performed obeying an ideal distraction vector, resulting in asymmetries, anterior open bite, and loosening of screws. Read More

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Three-dimensional bio-printing and bone tissue engineering: technical innovations and potential applications in maxillofacial reconstructive surgery.

Maxillofac Plast Reconstr Surg 2020 Dec 3;42(1):18. Epub 2020 Jun 3.

Kingston and St George's Hospitals and St George's Medical School, London, SW17 0QT UK.

Background: Bone grafting has been considered the gold standard for hard tissue reconstructive surgery and is widely used for large mandibular defect reconstruction. However, the midface encompasses delicate structures that are surrounded by a complex bone architecture, which makes bone grafting using traditional methods very challenging. Three-dimensional (3D) bioprinting is a developing technology that is derived from the evolution of additive manufacturing. Read More

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December 2020

A Novel Volumizing Extended Deep-Plane Facelift: Using Composite Flap Shifts to Volumize the Midface and Jawline.

Andrew A Jacono

Facial Plast Surg Clin North Am 2020 Aug;28(3):331-368

NY Center for Facial Plastic & Laser Surgery/JSpa Medical Spa, 630 Park Avenue, New York, NY 10065, USA. Electronic address:

Traditional superficial musculoaponeurotic system (SMAS) facelifting surgery uses a laminar surgical dissection. This approach does not treat areas of facial volume loss, and requires additional volume supplementation with fat grafting or fillers. The novel volumizing extended deep-plane facelift uses a composite approach to the facelift flap. Read More

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Thirty Years Later: What Has Craniofacial Distraction Osteogenesis Surgery Replaced?

Plast Reconstr Surg 2020 06;145(6):1073e-1088e

From the Division of Plastic Surgery, University of Washington; the Craniofacial Center, Seattle Children's Hospital; the Craniofacial Unit, Birmingham Children's Hospital; the Facial Reconstructive Unit, Hospital da Luz; and the Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine.

Learning Objectives: After studying this article and viewing the video, the participant should be able to: 1. Compare the relative stability and neurosensory changes following mandible distraction osteogenesis with those after traditional advancement and fixation. 2. Read More

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Utility of the Midface Degloving Approach for Extended Exposure in Maxillary Pathologies.

J Maxillofac Oral Surg 2020 Jun 18;19(2):217-224. Epub 2019 Sep 18.

Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and General Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Alapakkam Main Road, Maduravoyal, Chennai 600095 India.

Introduction: A generous exposure of the midface region is essential for a comprehensive and thorough execution of midface surgical procedures, especially bilateral procedures. Traditional approaches to the midface the midface like the lateral rhinotomy and Weber-Fergusson/Dieffenbach incision with their modifications leave a visible scar, and they are limited in their unilateral exposure. The midface degloving approach with its exclusive intranasal and intraoral incisions leaves no external scars and lends excellent bilateral exposure of the maxilla, zygoma, paranasal areas and infraorbital margins from one side to the other. Read More

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A Modified Hughes Flap for Correction of Refractory Cicatricial Lower Lid Retraction With Concomitant Ectropion.

Ophthalmic Plast Reconstr Surg 2020 Sep/Oct;36(5):503-507

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine.

Introduction: Correction of lower eyelid retraction commonly involves one or more techniques, including recession of the eyelid retractors, spacer grafts, horizontal lid tightening, and midface lifting. However, patients presenting with cicatricial lower lid retraction following prior eyelid surgery often have scarring and concomitant ectropion or entropion that cause unpredictable wound healing, recicatrization, and suboptimal outcomes. The modified Hughes tarsoconjunctival flap is typically used to repair full-thickness eyelid defects. Read More

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A New Methodology for the Digital Planning of Micro-Implant-Supported Maxillary Skeletal Expansion.

Med Devices (Auckl) 2020 18;13:93-106. Epub 2020 Mar 18.

Division of Growth and Development, Section of Orthodontics, School of Dentistry, Center for Health Science, University of California, Los Angeles, Los Angeles, CA, USA.

Introduction: Miniscrew-assisted rapid palatal expansion (MARPE) appliances utilize the skeletal anchorage to expand the maxilla. One type of MARPE device is the Maxillary Skeletal Expander (MSE), which presents four micro-implants with bicortical engagement of the palatal vault and nasal floor. MSE positioning is traditionally planned using dental stone models and 2D headfilms. Read More

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Expert Consensus on Navigation-guided Unilateral Delayed Zygomatic Fracture Reconstruction Techniques.

Chin J Dent Res 2020 ;23(1):45-50

The zygoma is located in the medial and lateral parts of the face, supporting the midfacial contour. The forward projection of the zygoma and the zygomatic arch often expose them to injury. Fractures of the zygoma can lead to the displacement of the zygoma and the zygomatic arch, causing facial collapse deformity. Read More

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Three-dimensional cephalometric analysis of the maxilla: Analysis of new landmarks.

Am J Orthod Dentofacial Orthop 2019 Sep;156(3):337-344

Department of Mathematics, Statistics, and Computer Science, University of Illinois, Chicago, Ill.

Introduction: Clinical evaluation of the midface including the paranasal and upper lip regions is highly subjective and complex. Traditional and 3-dimensional cephalometrics were not developed with the clinical appearance of these midfacial areas in mind and are therefore inappropriate surrogates for the clinical appearance of the midface, making them unsuitable as aids in diagnosing dentofacial deformities. The aim of this study was to evaluate traditional as well as newly defined landmarks and measurements and their correlation with clinical appearance of the midface. Read More

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September 2019

[Expert consensus on navigation-guided unilateral delayed zygomatic fractures reconstruction techniques].


Zhonghua Kou Qiang Yi Xue Za Zhi 2019 Jun;54(6):363-367

The zygoma is located in the medial and lateral parts of the face, supporting the midfacial contour. The forward projection of the zygoma and the zygomatic arch expose them to frequent injury. Fractures of the zygoma can lead to displacement of the zygoma and the zygomatic arch, causing facial collapse deformity. Read More

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The impact of expanded endonasal skull base surgery on midfacial growth in pediatric patients.

Laryngoscope 2020 02 9;130(2):338-342. Epub 2019 May 9.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.

Objective: Surgical resection of skull base tumors in children is increasingly accomplished through an expanded endonasal approach (EEA). We aim to evaluate the potential effect of the EEA on midfacial growth as a result of iatrogenic damage to nasal growth zones.

Methods: We performed a retrospective review of children undergoing craniopharyngioma resection via an open transcranial or EEA. Read More

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February 2020

Midface correction in patients with Crouzon syndrome is Le Fort III distraction osteogenesis with a rigid external distraction device the gold standard?

J Craniomaxillofac Surg 2019 Mar 31;47(3):420-430. Epub 2018 Dec 31.

Department of Cranio- and Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. Electronic address:

Introduction: Le Fort III distraction osteogenesis with a rigid external distraction device is a powerful procedure to correct both exorbitism and impaired airways in faciocraniosynostosis. The aim of this study was to investigate treatment effect, perioperative parameters and volumetric outcomes after Le Fort III distraction osteogenesis in patients with Crouzon syndrome in a retrospective study design and to explore potential strengths and weaknesses of this procedure.

Materials And Methods: From June 2013 to February 2015, a total of nine children with Crouzon syndrome underwent Le Fort III distraction osteogenesis with a rigid external distraction device (RED device, KLS Martin, Tuttlingen, Germany). Read More

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Etiology and Treatment of Congenital Festoons.

Mokhtar Asaadi

Aesthetic Plast Surg 2018 Aug 18;42(4):1024-1032. Epub 2018 Apr 18.

Department of Plastic and Reconstructive Surgery, Saint Barnabas Medical Center, 94 Old Short Hills Rd, Livingston, NJ, 07039, USA.

Background: Festoons and malar bags present a particular challenge to the plastic surgeon and commonly persist after the traditional lower blepharoplasty. They are more common than we think and a trained eye will be able to recognize them. Lower blepharoplasty in these patients requires addressing the lid-cheek junction and midcheek using additional techniques such as orbicularis retaining ligament (ORL) and zygomaticocutaneous ligament (ZCL) release, midface lift, microsuction, or even direct excision (Kpodzo e al. Read More

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Surgical Approach to the Thick Nasolabial Folds, Jowls and Heavy Neck-How to Approach and Suspend the Facial Ligaments.

Facial Plast Surg 2018 Feb 6;34(1):59-65. Epub 2018 Feb 6.

Başkent University, Istanbul Hospital, Altunizade, Istanbul, Turkey.

Patients with thick skin typically present with a redundant, baggy, lax skin envelope together with prominent nasolabial folds, jowls, and a heavy neck. Durable and natural-appearing rejuvenation is not possible unless the deformities are addressed adequately and harmoniously in these patients. Traditional superficial musculoaponeurotic system techniques do not include surgical release of the zygomatic cutaneous ligaments and repositioning of descendent malar fat pad, and may lead to an unbalanced, unnatural appearance and the lateral sweep phenomenon. Read More

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February 2018

A Novel and More Aesthetic Injection Pattern for Malar Cheek Volume Restoration.

Aesthetic Plast Surg 2018 Feb 24;42(1):197-200. Epub 2017 Oct 24.

Galderma Laboratories, L.P, 14501 N. Freeway Rd, Fort Worth, TX, 76177, USA.

The loss of superior midface contour and projection can be corrected with the use of injectable hyaluronic acid (HA) dermal fillers, however, the most frequently used injection pattern employs a technique which was originally designed for malar implant surgery. Here we describe a novel injection pattern for restoring facial contours with a HA dermal filler inspired by traditional make-up artistry, which includes greater superolateral positioning of injection sites. Importantly, this technique helps injectors avoid creating an excess of volume in the anterior portion of the malar complex. Read More

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February 2018

E-cigarette aerosol exposure can cause craniofacial defects in Xenopus laevis embryos and mammalian neural crest cells.

PLoS One 2017 28;12(9):e0185729. Epub 2017 Sep 28.

Virginia Commonwealth University, Department of Biology, Richmond, VA, United States of America.

Since electronic cigarette (ECIG) introduction to American markets in 2007, vaping has surged in popularity. Many, including women of reproductive age, also believe that ECIG use is safer than traditional tobacco cigarettes and is not hazardous when pregnant. However, there are few studies investigating the effects of ECIG exposure on the developing embryo and nothing is known about potential effects on craniofacial development. Read More

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November 2017

A Novel Technique for Reduction Malarplasty by Inward Displacement of Infractured Zygomatic Arch Without Fixation.

J Oral Maxillofac Surg 2017 Dec 24;75(12):2658-2666. Epub 2017 Jun 24.

Professor, Department of Plastic Surgery, Minhang Shanghai Hospital, Shanghai, China. Electronic address:

Purpose: Reduction malarplasty is one of the most common esthetic surgical procedures performed in the Asian population. Traditional procedures have several complications, such as bone nonunion, malunion, cheek drooping, and damage to the infraorbital nerve and maxillary sinus. Therefore, a more straightforward and effective method of reducing the width of the midface is needed. Read More

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December 2017

Cheek and Chin Implants to Enhance Facelift Results.

Facial Plast Surg 2017 Jun 1;33(3):279-284. Epub 2017 Jun 1.

Facial Plastic Surgery Associates, 6655 Travis Street, Suite 900, Houston, Texas.

The traditional rhytidectomy addresses facial and neck aging as it relates to soft tissue laxity. The modern volumetric facelift provides optimal results by addressing not only skin laxity but also the loss of volume secondary to tissue atrophy and bony resorption. While multiple techniques including fat grafting, dermal fillers, and tissue resuspension are used to correct the tissue loss, alloplastic midface augmentation remains the most permanent method. Read More

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Midface-lift patient satisfaction: A 5-year follow-up study.

Indian J Plast Surg 2016 Sep-Dec;49(3):329-335

Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy.

Context: Several studies showed, from the clinical point of view, the advantages of the various techniques and surgical approaches to obtain facial rejuvenation. A few studies have highlighted the satisfaction or not of patients who underwent a traditional facelift; however, a long-term follow-up study measuring patient satisfaction with midface-lift surgery has not been published yet.

Aims: The aim of this study is to measure individual patient satisfaction with the midface lift, to find out from each patient his/her level of satisfaction 1 and 5 years after the operation and to compare the results to assess the benefits of the surgery. Read More

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February 2017

Mid-Face Degloving: An Alternate Approach to Extended Osteotomies of the Midface.

J Craniofac Surg 2017 Jan;28(1):245-247

*Department of Oral and Maxillofacial Surgery, Meenakshiammal Dental College and Hospital, Maduravoyal †Department of Oral and Maxillofacial Surgery, Sri Ramachandra Dental College and Hospital, Porur, Chennai, India ‡Private Practice, Klinik Professor Sailer §Cleft Children International, Zurich, Switzerland.

Extended osteotomies for mid-face advancement require generous exposure of the anterior maxilla, nasal bones, infraorbital rims, orbital floor, zygoma, and the anterior third of the zygomatic arches. This cannot be obtained with an exclusive transoral approach. Hence, the surgeon is usually compelled to utilize supplemental cutaneous incisions that are a compromise on the purpose behind a cosmetic surgery. Read More

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January 2017

Facelift Techniques That Restore Facial Volume.

Facial Plast Surg 2016 Oct 28;32(5):560-4. Epub 2016 Sep 28.

Mittelman Plastic Surgery, Los Altos, California.

The aging face results in increase in laxity of the skin and the underlying supporting tissue. There is a fundamental volume loss in the face and it is most apparent in the midface. A traditional superficial musculoaponeurotic system (SMAS) rhytidectomy addresses the laxity of the face but not volume loss. Read More

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October 2016

Minimally traumatic submental intubation: a novel dilational technique.

A Ujam M Perry

Eur J Trauma Emerg Surg 2017 Jun 30;43(3):359-362. Epub 2016 Apr 30.

Northwick Park Hospital, Watford Road, Harrow, Middlesex, HA1 3UJ, UK.

Purpose: Submental intubation is widely accepted as a safe and effective alternative to nasal intubation or tracheostomy in head and neck surgery patients. Forceful or careless technique can cause significant bleeding and trauma to the soft tissues at this point, increasing the likelihood of troublesome sublingual haematoma.

Methods: We describe the use of a percutaneous tracheostomy horn (Cook Medical Blue Rhino) to allow minimally traumatic submental intubation without the need for serial dilations. Read More

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Bone-impacted fibular free flap: Long-term dental implant success and complications compared to traditional fibular free tissue transfer.

Head Neck 2016 04 17;38 Suppl 1:E1783-7. Epub 2015 Dec 17.

Division of Otolaryngology - Head and Neck Surgery, University of Alberta, Edmonton, Canada.

Background: The purpose of this study was to compare complications and dental implant success between the bone-impacted fibula free flap (BIFFF) and the traditional fibular free flap used in mandibular and midface reconstruction.

Methods: Retrospective review of all patients undergoing BIFFF or traditional fibular free flap reconstruction from 2001 to 2009 was undertaken. Complications related to the BIFFF and traditional fibular free flap site of reconstruction were compared. Read More

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Image-guided surgery and craniofacial applications: mastering the unseen.

Maxillofac Plast Reconstr Surg 2015 Dec 21;37(1):43. Epub 2015 Nov 21.

Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Texas Tech University Health Sciences Center, 3601 4th Street STOP 8312, Lubbock, TX 79430 USA.

Image-guided surgery potentially enhances intraoperative safety and outcomes in a variety of craniomaxillofacial procedures. We explore the efficiency of one intraoperative navigation system in a single complex craniofacial case, review the initial and recurring costs, and estimate the added cost (e.g. Read More

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December 2015