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Subperiosteal Face-Lift

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Abstract

The subperiosteal face-lift has benefited from significant technologic 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. Restoration of facial volume can be achieved with the subperiosteal technique and can be applied to the full spectrum of patients with long-lasting results. The authors describe their preferred technique for subperiosteal face-lift and discuss its indications, complications, advantages, and limitations.

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References

  1. Rees TD, Aston SJ, Thorne CHM (1990) Blepharoplasty and facialplasty. In: MacCarthy J (ed) Plastic surgery, vol 3. W.B. Saunders, Philadelphia, pp 2320–2414

    Google Scholar 

  2. Patrocinio LG, Patrocinio JA, Couto HG, Muniz de Souza H, Carvalho PM (2006) Subperiosteal facelift: a 5-year experience. Braz J Otorhinolaryngol 72(5):592–597

    Google Scholar 

  3. DeFatta RJ, Williams EF 3rd (2009) Evolution of midface rejuvenation. Arch Facial Plast Surg 11(1):6–12

    Article  PubMed  Google Scholar 

  4. Joseph J (1931) Nasenplastik und Sonstige Gesichtplastik nebst einen Anhang uber Mammaplastik. Kabitzch, Leipzig

    Google Scholar 

  5. Gonzaléz-Ulloa M (1962) Facial wrinkles: integral elimination. Plast Reconstr Surg 29(6):658–673

    Article  Google Scholar 

  6. Adamson P, Litner J (2005) Evolution of rhytidectomy techniques. Facial Plast Surg Clin North Am 13(3):383–391

    Article  PubMed  Google Scholar 

  7. Barton FE Jr (1992) The SMAS and the nasolabial fold. Plast Reconstr Surg 89(6):1054–1057

    Article  PubMed  Google Scholar 

  8. Tessier P (1979) Face lifting and frontal rhytidectomy. In: Ely JF (ed) Transactions of the seventh international congress of plastic and reconstructive surgery. Rio de Janeiro p. 393

    Google Scholar 

  9. Tessier P (1989) Subperiosteal face-lift. Ann Chir Plast Esthet 34(3):193–197

    PubMed  CAS  Google Scholar 

  10. Psillakis JM (1982) Ritidoplastia: nova técnica cirúrgica. Jornada Carioca de Cirurgia Estética, Rio de Janeiro

    Google Scholar 

  11. Psillakis JM (1984) Empleo de técnicas de cirugía craneofacial en las ritidoplastias del tercio superior de la cara. Cir Plast Iber Lat Am 10:297

    Google Scholar 

  12. Psillakis JM, Rumley TO, Camargo A (1988) Subperiosteal approach as an improved concept for correction of the aging face. Plast Reconstr Surg 82(3):383–394

    Article  PubMed  CAS  Google Scholar 

  13. Santana PM (1984) Craniofacial methods in rhytidoplasty. Cir Plast Ibero-Latinamer 10:32

    Google Scholar 

  14. Isse NG (1994) Endoscopic facial rejuvenation: endoforehead, the functional lift. Case reports. Aesthetic Plast Surg 18(1):21–29

    Article  PubMed  CAS  Google Scholar 

  15. Ramirez OM, Maillard GF, Musolas A (1991) The extended subperiosteal facelift: a definitive soft tissue remodeling for facial rejuvenation. Plast Reconstr Surg 88(2):227–236

    Article  PubMed  CAS  Google Scholar 

  16. Ramirez OM (1994) Endoscopic full facelift. Aesthetic Plast Surg 18(4):363–371

    Article  PubMed  CAS  Google Scholar 

  17. Ramirez OM (1995) Endoscopic facial rejuvenation. Perspect Plast Surg 9:22

    Google Scholar 

  18. Hester TR, Codner MA, McCord CD (1996) The “centrofacial” approach for correction of facial aging using the transblepharoplasty subperiosteal cheek lift. Aesthetic Surg J 16:51

    Article  Google Scholar 

  19. Cardim VLM (1996) Blefaroplastia subperiosteal. Rev Soc Bras Cir Plast 11:7–14

    Google Scholar 

  20. Paul MD (1997) An approach for correcting mid facial aging with a periosteal hinge flap. Aesthetic Surg J 17(1):61–63

    Article  CAS  Google Scholar 

  21. Coleman SR (1997) Facial recontouring with lipostructure. Clin Plast Surg 24(2):347–367

    PubMed  CAS  Google Scholar 

  22. Little JW (2000) Three-dimensional rejuvenation of the midface: volumetric resculpture by malar imbrication. Plast Reconstr Surg 105(1):267–285

    Article  PubMed  CAS  Google Scholar 

  23. Ramirez OM (2000) The central oval of the face: tridimensional endoscopic rejuvenation. Facial Plast Surg 16(3):283–298.

    Article  PubMed  CAS  Google Scholar 

  24. Ramirez OM (2001) Full face rejuvenation in three ­dimensions: a “face-lifting” for the new millennium. Aesthetic Plast Surg 25(3):152–164

    Article  PubMed  CAS  Google Scholar 

  25. Ramirez OM (2002) Three-dimensional endoscopic midface enhancement: a personal quest for the ideal cheek rejuvenation. Plast Reconstr Surg 109(1):329–340

    Article  PubMed  Google Scholar 

  26. Patrocinio LG, Reinhart RJ, Patrocínio TG, Patrocinio JA (2006) Endoscopic frontoplasty: 3-year experience. Braz J Otorhinolaryngol 72(5):624–630

    PubMed  Google Scholar 

  27. Patrocinio LG, Patrocinio JA (2008) Forehead-lift: a 10-year review. Arch Facial Plast Surg 10(6):391–394

    Article  PubMed  Google Scholar 

  28. Casagrande C, Saltz R, Chem R, Pinto R, Collares M (2000) Direct needle fixation in endoscopic facial rejuvenation. Aesthetic Surg J 20(5):361–367

    Google Scholar 

  29. Patrocinio JA, Patrocinio LG, Aguiar ASF (2002) Compli­cações de ritidoplastia em um serviço de residência médica em otorrinolaringologia. Rev Bras Otorrinolaringol 68(3): 338–342

    Article  Google Scholar 

  30. Sullivan CA, Masin J, Maniglia AJ, Stepnick DW (1999) Complications of rhytidectomy in an otolaryngology training program. Laryngoscope 109(2 Pt 1):198–203

    Article  PubMed  CAS  Google Scholar 

  31. Bettman A (1920) Plastic and cosmetic surgery of the face. Northwest Med J 19:205

    Google Scholar 

  32. Bourguet J (1921) La chirurgie estetique de la face. Concours Med 1657–1670

    Google Scholar 

  33. Skoog T (1974) Plastic surgery: new methods and refinements. W.B. Saunders, Philadelphia

    Google Scholar 

  34. Mitz V, Peyronie M (1976) The superficial musculoaponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 58(1):80–88

    Article  PubMed  CAS  Google Scholar 

  35. Hamra ST (1992) Composite rhytidectomy. Plast Reconstr Surg 90(1):1–13

    Article  PubMed  CAS  Google Scholar 

  36. Moelleken B (1999) The superficial subciliary cheek lift, a technique for rejuvenating the infraorbital region and nasojugal groove: clinical series of 71 patients. Plast Reconstr Surg 104(6):1863–1874

    Article  PubMed  CAS  Google Scholar 

  37. Gunter JP, Hackney FL (1999) A simplified transblepharoplasty subperiosteal cheek lift. Plast Reconstr Surg 103(7):2029–2035

    Article  PubMed  CAS  Google Scholar 

  38. Coleman SR (2001) Structural fat grafts: the ideal filler? Clin Plast Surg 28(1):111–119

    PubMed  CAS  Google Scholar 

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Correspondence to Lucas G. Patrocinio .

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Patrocinio, L.G., Patrocinio, T.G., Patrocinio, J.A., Naves, M.M. (2013). Subperiosteal Face-Lift. In: Shiffman, M., Di Giuseppe, A. (eds) Cosmetic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-21837-8_24

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  • DOI: https://doi.org/10.1007/978-3-642-21837-8_24

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-21836-1

  • Online ISBN: 978-3-642-21837-8

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