MIDI face-lift and tricuspidal SMAS-flap.

Area of Science:

• Plastic Surgery
• Facial Rejuvenation Techniques

Background:

• Patients aged 40-50 seek prophylactic rejuvenation for a tired appearance.
• Key patient desires include lasting effects, harmonious features, minimal scarring, and rapid recovery.

Purpose of the Study:

• To introduce and evaluate a modified short-scar face-lift technique called the MIDI face-lift (Minimal, Invasive, Deep, Intensive).
• To assess the efficacy, safety, and patient satisfaction of the MIDI face-lift procedure.

Main Methods:

• A modified short-scar face-lift technique involving half Z-plasties and various SMAS (Superficial Musculoaponeurotic System) plication/flap techniques.
• Tumescent local anesthesia with adrenaline and ornipressin, and fibrin glue for drainage management.
• Study included 200 patients over three years, with detailed discussion of technical aspects, complications, and adjuvant procedures.

Main Results:

• 96% of patients were treated as outpatients due to effective drainage management.
• High patient satisfaction rate of 88% was reported.
• Low complication rate with only three out of 200 patients requiring revisionary surgery.

Conclusions:

• The MIDI face-lift is a safe and effective rejuvenation procedure for the 40-50 age group.
• The technique achieves harmonious features, minimal scarring, and rapid recovery, meeting key patient demands.
• High patient satisfaction and a low revision rate support the efficacy of this minimally invasive approach.