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Transtemporal Midface Lift

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Oculofacial, Orbital, and Lacrimal Surgery

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Abstract

Midfacial rejuvenation evolved as the facial plastic surgery community developed a sophisticated understanding of the effects of aging in a three-dimensional perspective of the midface. Rejuvenation of the midface targets both the descent of midfacial soft tissue and loss of volume in the submalar region. Various approaches have been proposed to address these aesthetic concerns. We have particularly found success with the transtemporal endoscopic approach to lifting and suspending the midfacial soft tissues back to their anatomic position. Using this approach, we believe we are able to provide a lasting resuspension of the brow and restoration of a youthful midfacial appearance by restoring volume of the soft tissues in their original suspended position. In this chapter we address key features of the anatomy particularly the location of the temporal branch of the facial nerve in our dissection plane, our surgical technique, and potential complications related to the procedure. In our hands, the transtemporal approach to the midface has led to successful long-lasting midfacial rejuvenation results with minimal complications and a safe dissection plane with respect to the frontal branch of the facial nerve.

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Author information

Authors and Affiliations

  1. Quatela Center for Plastic Surgery, Rochester, NY, USA

    Vito Quatela & Catherine Weng

Authors
  1. Vito Quatela
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  2. Catherine Weng
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Corresponding author

Correspondence to Vito Quatela .

Editor information

Editors and Affiliations

  1. Eyelid and Facial Plastic and Reconstructive Surgery and MediSpa, Diseases and Surgery of the Orbit & Lacrimal System Neuro-ophthalmology, Glenview/Chicago, IL, USA

    Adam J. Cohen

  2. Oculoplastics, Orbital, and Cosmetic Facial Surgery, University of Wisconsin, Madison Department of Ophthalmology and Visual Sciences, Madison, WI, USA

    Cat Nguyen Burkat

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Quatela, V., Weng, C. (2019). Transtemporal Midface Lift. In: Cohen, A., Burkat, C. (eds) Oculofacial, Orbital, and Lacrimal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14092-2_30

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  • DOI: https://doi.org/10.1007/978-3-030-14092-2_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14090-8

  • Online ISBN: 978-3-030-14092-2

  • eBook Packages: MedicineMedicine (R0)

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