Facial plast Surg 2013; 29(03): 206-213
DOI: 10.1055/s-0033-1347000
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Subperiosteal Midface-Lift

Lucas G. Patrocinio1, Tomas G. Patrocinio1, Jose A. Patrocinio2
  • 1Division of Facial Plastic, Department of Otolaryngology, Medical School, Federal University of Uberlandia, Uberlandia, MG, Brazil
  • 2Department of Otolaryngology, Medical School, Federal University of Uberlandia, Uberlandia, MG, Brazil
Further Information

Publication History

Publication Date:
12 June 2013 (online)

Abstract

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. The subperiosteal midface-lift by a temporal approach is a procedure designed to rejuvenate the middle third of the face. After subperiosteal detachment, the soft tissues of the cheek, jowls, lateral canthus, and inferior orbital rim can be lifted to reestablish their youthful relationship with the underlying skeleton. It is a technique that produces satisfactory cosmetic results in most cases, causing malar augmentation, nasolabial fold improvement, and mild jowl improvement. We describe our preferred technique in detail and discuss its indications, complications, advantages, and limitations.