Advertisement

Endoscopic Midface Lift

  • Francisco CastilloEmail author
  • Geoffrey J. Gladstone
Chapter
  • 561 Downloads

Abstract

Over the past two decades, new techniques for facial rejuvenation have been developed to address not only the excess laxity of the aging facial skin, but also the inferior descent that characterizes the aging face. The traditional facelift, even with a SMAS plication, is directed at correcting excess laxity, but in the author’s opinion it has the drawback of tightening the tissues in an anteroposterior direction without adequately addressing age-related tissue descent. A vertical lift is a more anatomically correct method of counteracting the vertical displacement of the face that is responsible for prominent nasolabial folds, a skeletonized appearance of the lower eyelids and malar prominence, and, to a lesser degree, the pre-jowl sulcus.

Supplementary material

Video 4.1

Endoscopic midface lift: external portion (MP4 643440 kb)

Video 4.2

Endoscopic midface lift: endoscopic portion and closure (MP4 406622 kb)

References

  1. 1.
    Pascali M, Botti C, Cervelli V, Botti G. Vertical midface lifting with periorbital anchoring in the management of lower eyelid retraction: a ten-year clinical retrospective study. Plast Reconstr Surg. 2017;140(1):33–45.  https://doi.org/10.1097/PRS.0000000000003452.CrossRefPubMedGoogle Scholar
  2. 2.
    Sasaki GH, Cohen AT. Meloplication of the malar fat pads by percutaneous cable-suture technique for midface rejuvenation: outcome study (392 cases, 6 years’ experience). Plast Reconstr Surg. 2002;110:635–57.CrossRefPubMedGoogle Scholar
  3. 3.
    Keller GS, Namazie A, Blackwell K, Rawnsley J, Khan S. Elevation of the malar fat pad with a percutaneous technique. Arch Facial Plast Surg. 2002;4:20–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Chi JJ. Periorbital surgery: forehead, brow, and midface. Facial Plast Surg Clin North Am. 2016;24(2):107–17.CrossRefPubMedGoogle Scholar
  5. 5.
    Sclafani AP, Dibelius G. Transpalpebral midface lift. Facial Plast Surg Clin North Am. 2015;23(2):209–19.CrossRefPubMedGoogle Scholar
  6. 6.
    Engle RD, Pollei TR, Williams EF 3rd. Endoscopic midfacial rejuvenation. Facial Plast Surg Clin North Am. 2015;23(2):201–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Ophthalmic Facial Plastic and Reconstructive SurgeryOakland University William Beaumont School of MedicineSouthfieldUSA
  2. 2.Consultants in Ophthalmic and Facial Plastic Surgery, PCSouthfieldUSA
  3. 3.Oakland University William Beaumont School of MedicineRoyal OakUSA
  4. 4.Wayne State University School of MedicineDetroitUSA

Personalised recommendations