The Subperiosteal Mid-Face Lift Using Bioabsorbable Implants for Fixation
In recent years, the mid-face has received significant attention in the management of lower eyelid and facial reconstruction as well as rejuvenation. The transtemporal subperiosteal approach descriptions by Ramirez provide excellent vertical lift to mid-face soft tissue and allows redraping or volume redistribution without aggressive preperiosteal soft tissue dissection.1,2 This approach may be continued as an extension of an endoscopic or open browlift procedure as well as combined with lower third facial rhytidectomy surgery to optimize entire facial rejuvenation (facial harmony).3 This technique also allows for fat graft injection, orbital fat pedicle repositioning, malar augmentation, and/or lateral retinacular suspension of the lower eyelid if desired, in a safe fashion. Using a resorbable midface elevation device on a leash allows predictable reliable midface elevation with improved surgical efficiency (Figure 86.1).
KeywordsDeep Temporalis Fascia Bioabsorbable Implant Facial Harmony Midface Lift Gingivobuccal Sulcus
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- 4.Holck DEE, Robertson OB. Expert commentary, the midface lift. In: Joseph Mauriello (ed.). Techniques of Cosmetic Eyelid Surgery: A Case Study Approach. Philadelphia: Lipppincott, Williams & Wilkins, 2004:173–179.Google Scholar
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