Download PDF
Facial Plast Surg 2003; 19(2): 157-170
DOI: 10.1055/s-2003-40002
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Transblepharoplasty: Subperiosteal Approach to Rejuvenation of the Aging Midface

Keith A. LaFerriere1 , Jefferson K. Kilpatrick2
  • 1Department of Surgery, Division of Otolaryngology, University of Missouri at Columbia, Springfield, MO
  • 2Pinehurst Surgical Clinic, Pinehurst, NC
Further Information

Publication History

Publication Date:
24 June 2003 (online)

    Permissions and Reprints

ABSTRACT

Multiple approaches are available to rejuvenate the aging midface. Our preferred technique is a graduated transblepharoplasty approach beginning with lower blepharoplasty with or without orbital fat repositioning and progressing to a subperiosteal midface lift, guided by the extent of aging changes present in the midface. In this article we discuss the rationale for this method and describe the preoperative analysis, relevant anatomy, surgical technique, postoperative considerations, and complications associated with each technique. Case examples are provided to illustrate major concepts.

KEYWORDS

Transblepharoplasty - orbital fat repositioning - blepharoplasty - subperiosteal midface lift

REFERENCES

  • 1 Psillakis J M, Rumley T O, Camargos A. Subperiosteal approach as an improved concept for correction of the aging face.  Plast Reconstr Surg . 1988;  82(3) 383-392
    CrossrefPubMedGoogle Scholar
  • 2 Ramirez O M. The subperiosteal rhytidectomy: the third-generation face-lift.  Ann Plast Surg . 1992;  28 218-234
    CrossrefPubMedGoogle Scholar
  • 3 Hamra S T. Composite rhytidectomy.  Plast Reconstr Surg . 1992;  90(1) 1-13
    Google Scholar
  • 4 Owsley Jr Q J, Zweifler M. Midface lift of the malar fat pad: technical advances.  Plast Reconstr Surg . 2002;  110(2) 674-685
    CrossrefPubMedGoogle Scholar
  • 5 Ramirez O M. The subperiosteal approach for the correction of the deep nasolabial fold and the central third of the face.  Clin Plast Surg . 1995;  22 341-356
    PubMedGoogle Scholar
  • 6 Hester Jr R T, Codner M A, McCord C D, Nahai F, Giannopoulos A. Evolution of technique of the direct transblepharoplasty approach for the correction of lower lid and midfacial aging: maximizing results and minimizing complications in a 5-year experience.  Plast Reconstr Surg . 2000;  105(1) 393-408
    CrossrefPubMedGoogle Scholar
  • 7 Gunter J P, Hackney F L. A simplified transblepharoplasty subperiosteal cheek lift.  Plast Reconstr Surg . 1999;  103(7) 2029-2035
    CrossrefPubMedGoogle Scholar
  • 8 Goldberg R A. Transconjunctival orbital fat repositioning: transposition of orbital fat pedicles into a subperiosteal pocket.  Plast Reconstr Surg . 2000;  105(2) 743-748
    CrossrefPubMedGoogle Scholar
  • 9 Jelks G W, Glat P M, Jelks E B, Longaker M T. The inferior retinacular lateral canthoplasty: a new technique.  Plast Reconstr Surg . 1997;  100(5) 1262-1270
    CrossrefPubMedGoogle Scholar
  • 10 Shorr N. Madame Butterfly procedure with hard palate graft: management of postblepharoplasty round eye and scleral show.  Facial Plast Surg . 1994;  10(1) 90-118
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Edelstein C, Balch K, Shorr N, Goldberg R A. The transeyelid subperiosteal midface-lift in the unhappy postblepharoplasty patient.  Semin Ophthalmol . 1998;  13(3) 107-114
    CrossrefPubMedGoogle Scholar
      >