Transblepharoplasty: Subperiosteal Approach to Rejuvenation of the Aging Midface

Keith A. LaFerriere; Jefferson K. Kilpatrick

doi:10.1055/s-2003-40002

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2003; 19(2): 157-170
DOI: 10.1055/s-2003-40002

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

Abstract

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

Full Text

References

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