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Facial Plast Surg 2022; 38(06): 613-622
DOI: 10.1055/s-0042-1756454
Original Article

Subperiosteal Midface Lift with Sub–Superficial Musculoaponeurotic System Rhytidectomy

James P. Manning
1   Department of Facial Plastic Surgery, Quatela Center for Plastic Surgery, Rochester, New York
2   Department of Otolaryngology, University of Rochester Medical Center, Rochester, New York
,
Vito C. Quatela
3   Otolaryngology Division, Vito C. Quatela, MD PLLC, Rochester, New York
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Abstract

The subperiosteal midface lift is a powerful tool that allows the surgeon to reposition the SOOF and malar fat pad in a vertical direction. Additionally, it significantly softens deep nasolabial folds. Its effect, however, is minimal with regards to addressing the jowl, jawline, gonial angle and cervicomental angle. Combining the subperiosteal midface lift with an extended sub-SMAS rhytidectomy addresses the pre-jowl sulcus by releasing the mandibular ligament. The jawline and gonial angle become more defined with the transposition and suspension of the SMAS flap. The SMAS transposition flap along with the suspension of the platysma flap to the mastoid fascia support the submandibular glands and deepen the cervicomental angle. These two approaches are valuable additions to the surgeons armamentarium and can yield excellent results in carefully selected patients.

Keywords

Facelift - Subperiosteal Midface Lift - Sub-SMAS - Rhytidectomy


Publication History

Article published online:
23 December 2022

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