Aim:The author describes a new endoscopic midface lifting technique using solely temporal access and evaluates its advantages and perspectives.Methods:This is a single-surgeon case study.Through a short temporal incis...Aim:The author describes a new endoscopic midface lifting technique using solely temporal access and evaluates its advantages and perspectives.Methods:This is a single-surgeon case study.Through a short temporal incision,dissection is performed along a single plane connecting the superficial surfaces of both the facial and temporal superficial musculoaponeurotic system(SMAS)layers.Subsequent midface dissection divides the malar fat pad into the deeper and superficial parts.A new concept of a combination high malar SMAS lift and internal skin flap anchorage that provides long-term stability is described.Results:The temporal endoscopic midface(TEM)lift technique resulted in good objective results with high patient satisfaction.The temporal access allowed proper vertical vector correction of the sagging centro-facial structures.The resulting scar was inconspicuous and hidden in the hair bearing skin,and its length was measured between 5-6 cm.A conversion to the conventional long facial scar approach was completely avoided.Conclusion:The TEM lift is a new and effective procedure for facial rejuvenation,especially the midface and cheek.The results illustrate the importance of internal anchorage of both the midface SMAS and skin flap.These are the keys to long-lasting and pleasing results.The procedure is best suited for younger men and women with little or no neck skin laxity.展开更多
Loss of volume in midface can result in an aged, wasted appearance. Osseous and fat atrophy with aging may further contribute to the loss of soft tissue support and midface ptosis. In the aging of periorbital area and...Loss of volume in midface can result in an aged, wasted appearance. Osseous and fat atrophy with aging may further contribute to the loss of soft tissue support and midface ptosis. In the aging of periorbital area and midface, fat atrophy occurs mostly in the suborbicularis oculi fat (SOOF) area. The authors proposed that injection of hyaluronic acid (HA) filler to support the SOOF area could counteract the aging sign due to fat atrophy, restore volume loss and achieve a more youthful appearance. The authors described the treatment of 10 female patients who received CHAP<sup></sup><sup>®</sup>-particle hyaluronic acid (CHAP<sup>®</sup>-HA) injections for cheek augmentation, using single-point deep injection technique at midface in close proximity to SOOF area. Such approach provides satisfactory cheek augmentation results without significant complications. The authors discussed a rationale for their choice of dermal filler and provided an injection technique for restoring volume in the midface region with CHAP<sup>®</sup>-HA. Such technique is relatively quick to perform, have little down time, and result in a high rate of patient satisfaction.展开更多
文摘Aim:The author describes a new endoscopic midface lifting technique using solely temporal access and evaluates its advantages and perspectives.Methods:This is a single-surgeon case study.Through a short temporal incision,dissection is performed along a single plane connecting the superficial surfaces of both the facial and temporal superficial musculoaponeurotic system(SMAS)layers.Subsequent midface dissection divides the malar fat pad into the deeper and superficial parts.A new concept of a combination high malar SMAS lift and internal skin flap anchorage that provides long-term stability is described.Results:The temporal endoscopic midface(TEM)lift technique resulted in good objective results with high patient satisfaction.The temporal access allowed proper vertical vector correction of the sagging centro-facial structures.The resulting scar was inconspicuous and hidden in the hair bearing skin,and its length was measured between 5-6 cm.A conversion to the conventional long facial scar approach was completely avoided.Conclusion:The TEM lift is a new and effective procedure for facial rejuvenation,especially the midface and cheek.The results illustrate the importance of internal anchorage of both the midface SMAS and skin flap.These are the keys to long-lasting and pleasing results.The procedure is best suited for younger men and women with little or no neck skin laxity.
文摘Loss of volume in midface can result in an aged, wasted appearance. Osseous and fat atrophy with aging may further contribute to the loss of soft tissue support and midface ptosis. In the aging of periorbital area and midface, fat atrophy occurs mostly in the suborbicularis oculi fat (SOOF) area. The authors proposed that injection of hyaluronic acid (HA) filler to support the SOOF area could counteract the aging sign due to fat atrophy, restore volume loss and achieve a more youthful appearance. The authors described the treatment of 10 female patients who received CHAP<sup></sup><sup>®</sup>-particle hyaluronic acid (CHAP<sup>®</sup>-HA) injections for cheek augmentation, using single-point deep injection technique at midface in close proximity to SOOF area. Such approach provides satisfactory cheek augmentation results without significant complications. The authors discussed a rationale for their choice of dermal filler and provided an injection technique for restoring volume in the midface region with CHAP<sup>®</sup>-HA. Such technique is relatively quick to perform, have little down time, and result in a high rate of patient satisfaction.
