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Midface Lifting with Expanded Polytetrafluoroethylene Orbital Rim Implants

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Midfacial Rejuvenation
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Abstract

It has been observed that when multiple surgical approaches exist for a single problem, there is no one best method. In the case of midface surgery, this observation is rendered even more complex, because the anatomic issues addressed by each of the various approaches differ. For example, proponents of a volume loss theory of midface aging seek to correct the problem with fi llers, whereas those that believe that the midface becomes ptotic advocate lifting via a variety of techniques.

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References

  1. Steinsapir KD, Steinsapir SM. Deep-fill hyaluronic acid for the temporary treatment of the naso-jugal groove: a report of 303 consecutive treatments. Ophthal Plast Reconstr Surg. 2006;22(5):344–8.

    Article  PubMed  Google Scholar 

  2. Goldberg RA, Lee S, Jayasundera T, Tsirbas A, Douglas RS, McCann JD. Treatment of lower eyelid retraction by expansion of the lower eyelid with hyaluronic acid gel. Ophthal Plast Reconstr Surg. 2007;23(5):343–8.

    Article  PubMed  Google Scholar 

  3. Steinsapir MD. Aesthetic and restorative midface lifting with hand-carved, expanded polytetrafluoroethylene orbital rim implants. Plast Reconstr Surg. 2003;111(5):1727–37.

    Article  PubMed  Google Scholar 

  4. Pessa JE. An algorithm of facial aging: verification of Lambros’s theory by three-dimensional stereolithography, with reference to the pathogenesis of midfacial aging, scleral show, and the lateral suborbital trough deformity. Plast Reconstr Surg. 2000;106(2):479–88.

    Article  PubMed  CAS  Google Scholar 

  5. Richard M, Morris C, Deen B, Gray L, Woodward J. Analysis of the anatomic changes of the aging facial skeleton using computer-assisted tomography. Ophthal Plast Reconstr Surg. 2009;25(5):382–6.

    Article  PubMed  Google Scholar 

  6. Jelks GW, Jelks EB. Preoperative evaluation of the blepharoplasty patient: bypassing the pitfalls. Clin Plast Surg. 1993;20(2):213–23.

    PubMed  CAS  Google Scholar 

  7. Malbouisson JM, Baccega A, Cruz AA. The geometrical basis of the eyelid contour. Ophthal Plast Reconstr Surg. 2000;16(6):427–31.

    Article  PubMed  CAS  Google Scholar 

  8. Lambros V. Observations on periorbital and midface aging. Plast Reconstr Surg. 2007;120(5):1367–76.

    Article  PubMed  CAS  Google Scholar 

  9. Gosain AK, Amarante MT, Hyde JS, Yousif NJ. A dynamic analysis of changes in the nasolabial fold using magnetic resonance imaging: implications for facial rejuvenation and facial animation surgery. Plast Reconstr Surg. 1996;100(1):278–80.

    Google Scholar 

  10. Gosain AK, Klein MH, Sudhakar PV, Prost RW. A volumetric analysis of soft-tissue changes in the aging ­midface using high-resolution MRI: implications for facial rejuvenation. Plast Reconstr Surg. 2005;115(4):1153–5.

    Article  Google Scholar 

  11. Flowers RS. Tear trough implants for correction of tear trough deformity. Clin Plast Surg. 1993;20(2):403–15.

    PubMed  CAS  Google Scholar 

  12. Haddock NT, Saadeh PB, Boutros S, Thorne CH. The tear trough and lid/cheek junction: anatomy and implications for surgical correction. Plast Reconstr Surg. 2009;123(4):1332–40.

    Article  PubMed  CAS  Google Scholar 

  13. Kikkawa DO, Lemke BN, Dortzbach RK. Relations of the superficial musculoaponeurotic system to the orbit and characterization of the orbitomalar ligament. Ophthal Plast Reconstr Surg. 1996;12(2):77–88.

    Article  PubMed  CAS  Google Scholar 

  14. Muzaffar AR, Mendelson BC, Adams WP. Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus. Plast Reconstr Surg. 2002;110(3):873–84.

    Article  PubMed  Google Scholar 

  15. Furnas DW. Festoons, mounds, and bags of the ­eyelids and cheek. Clin Plast Surg. 1993;20(2):367–85.

    PubMed  CAS  Google Scholar 

  16. Stuzin JM, Baker TJ, Gordon HL. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg. 1992;89(3):441–9.

    Article  PubMed  CAS  Google Scholar 

  17. Lucarelli MJ, Khwarg SI, Lemke BN, Kozel JS, Dortzbach RK. The anatomy of midfacial ptosis. Ophthal Plast Reconstr Surg. 2000;16(1):7–22.

    Article  PubMed  CAS  Google Scholar 

  18. Rohrich RJ, Arbique GM, Wong C, Brown S, Pessa JE. The anatomy of suborbicularis fat: implications for periorbital rejuvenation. Plast Reconstr Surg. 2009;124(3):946–51.

    Article  PubMed  CAS  Google Scholar 

  19. Aiache AE, Ramirez OH. The suborbicularis oculi fat pads: an anatomic and clinical study. Plast Reconstr Surg. 1995;95(1):37–42.

    Article  PubMed  CAS  Google Scholar 

  20. Mendelson BC, Muzaffar AR, Adams WP. Surgical anatomy of the midcheek and malar mounds. Plast Reconstr Surg. 2002;110(3):885–96.

    Article  PubMed  Google Scholar 

  21. Gassner HG, Rafii A, Young A, Murakami C, Moe KS, Larrabee WF. Surgical anatomy of the face: implications for modern face-lift techniques. Arch Facial Plast Surg. 2008;10(1):9–19.

    Article  PubMed  Google Scholar 

  22. Darcy SJ, Miller TA, Goldberg RA, Villablanca JP, Demer JL, Rudkin GH. Magnetic resonance imaging characterization of orbital changes with age and associated contributions to lower eyelid prominence. Plast Reconstr Surg. 2008;122(3):921–9.

    Article  PubMed  CAS  Google Scholar 

  23. Hamra ST. Arcus marginalis release and orbital fat preservation in midface rejuvenation. Plast Reconstr Surg. 1995;96(2):354–62.

    Article  PubMed  CAS  Google Scholar 

  24. Goldberg RA. Transconjunctival orbital fat repositioning: transposition of orbital fat pedicles into a subperiosteal pocket. Plast Reconstr Surg. 2000;105(2):749–51.

    Article  Google Scholar 

  25. Hirmand H, Codner MA, McCord CD, Hester Jr TR, Nahai F. Prominent eye: operative management in lower lid and midfacial rejuvenation and the morphologic classification system. Plast Reconstr Surg. 2002;110(2):620–8.

    Article  PubMed  Google Scholar 

  26. Yaremchuk MJ, Kahn DM. Periorbital skeletal ­augmentation to improve blepharoplasty and midfacial results. Plast Reconstr Surg. 2009;124(6):2151–60.

    Article  PubMed  CAS  Google Scholar 

  27. Shorr N, Fallor MK. “Madame Butterfly” procedure: combined cheek and lateral canthal suspension ­procedure for post-blepharoplasty, “round eye,” and lower eyelid retraction. Ophthal Plast Reconstr Surg. 1985;1(4):229–35.

    PubMed  CAS  Google Scholar 

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Correspondence to Kenneth D. Steinsapir MD .

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Steinsapir, K.D. (2012). Midface Lifting with Expanded Polytetrafluoroethylene Orbital Rim Implants. In: Hartstein, M., Wulc, A., Holck, D. (eds) Midfacial Rejuvenation. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1007-2_8

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  • DOI: https://doi.org/10.1007/978-1-4614-1007-2_8

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1006-5

  • Online ISBN: 978-1-4614-1007-2

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