Elimination of Aesthetic Deformations of the Midface Area Our Experience
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The aesthetic manifestations of the aging process in the cheekbone, cheek and infraorbital areas are especially concerning for patients, so rejuvenating interventions in these areas are most in demand.
To introduce the experience of our clinic for aesthetic manipulation using Aptos (anti-ptosis) thread lifting methods in the midface area.
Among the surgical interventions that we used were Aptos thread lifting methods both in combination with lower blepharoplasty, and without it. At the same time, special attention was paid to the individual approach, trying to minimize invasiveness and, most importantly, trying to achieve the effect of moving subcutaneous soft tissues to a new, more advantageous position from an aesthetic point of view, with their fixation to dense structures.
The results of application of the presented methods to lift the cheek–zygomatic and infraorbital regions using Aptos methods were studied. In the overwhelming majority of cases, the results satisfied both surgeons and patients.
Aptos methods for lifting the midface soft tissues, which we used, are quite effective for rejuvenating the aging face.
Level of Evidence IV
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KeywordsMidface Face lift Nasolacrimal furrow Nasolabial fold
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest to disclose.
Insertion of Aptos thread into the fatty tissue (MP4 18623 kb)
Implantation of Aptos Thread 2G to the midface area (MP4 25785 kb)
Scheme and implantation of Aptos Needle 2G to the midface area (MP4 65743 kb)
Intraoperative insertion of Aptos Thread 2G to the midface (MP4 174087 kb)
Intraoperative suturing of midface using Aptos Needle 2/0 (MPG 16102 kb)
- 1.Fournier PF (1991) Liposculpture: the syringe technique. Arnette-Blackwell, Paris, pp 273–409Google Scholar
- 5.Fournier P (2004) Les variants dans la technique du Curl Lift, La revue de chirurgie esthetique de langue Francaise. t. XXVIII n 117:35–38Google Scholar
- 8.Sasaki G, Komorowska- Timek E, Bennett D, Gabriel A (2008) An objective comparison of holding, slippage, and pull-out tensions for eight suspension sutures in the malar fat pads of fresh-frozen human cadavers. ASJ 28(4):238–396Google Scholar
- 10.Sulamanidze MA, Sulamanidze GM, Sulamanidze CM (2013) Midface thread lifting: method of internal suturing. In: Serdev N (ed) Miniinvasive face and body lifts—closed suture lifts or barbed thread lifts. Intech PublishingGoogle Scholar
- 11.Sulamanidze M, Sulamanidze G, Sulamanidze C, Borovikov A (2013) The long-term results of minimally invasive facial interventions are comparable to a deep lift. Plast surg Cosmetol 1:383–393Google Scholar
- 12.Adamyan A, Skuba N, Sulamanidze M, Khusnutdinova Z (2002) Morphological foundations of facelift using APTOS filaments. Annals of Plastic Reconstructive and Aesthetic Surgery 3:19–27Google Scholar
- 14.Rohrich RJ, Pessa JE (2007) The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. PRS 119(7):2219–2227Google Scholar
- 15.Rohrich RJ, Pessa JE (2008) The retaining system of the face: histologic evaluation of the septal boundaries of the subcutaneous fat compartments. PRS 121(5):1804–1809Google Scholar