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Clinical analysis of malar fat pad re-elevation.
Jorge I de la Torre1, Laurence Z Rosenberg, Benoit C De Cordier
1The University of Alabama at Birmingham, Division of Plastic Surgery and The Center for Advanced Surgical Aesthetics, Birmingham, AL, USA. jorge.delatorre@ccc.uab.edu
Annals of Plastic Surgery
|June 13, 2003
Summary
Re-elevating the malar fat pad offers effective revision for midface rejuvenation when initial suspension yields suboptimal results. This secondary procedure successfully restores youthful contours and addresses asymmetry, demonstrating reliable long-term outcomes.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Techniques
Background:
- Primary suture suspension of the malar fat pad is a recognized method for facial rejuvenation.
- Suboptimal outcomes from initial malar fat pad elevation may necessitate secondary procedures.
- Understanding the efficacy and indications for malar fat pad re-elevation is crucial for revisionary midface surgery.
Purpose of the Study:
- To evaluate the efficacy and indications for secondary malar fat pad re-elevation.
- To assess the safety and long-term results of re-elevating the malar fat pad in patients with prior midface rejuvenation.
Main Methods:
- Retrospective review of 14 patients undergoing malar fat pad re-elevation between 1994 and 2000.
- Secondary elevation involved a subcutaneous approach with vertical suspension to the temporoparietal fascia.
- Procedures were analyzed for indications, complications, and outcomes, often combined with other facial procedures.
Main Results:
- Indications for re-elevation included nasolabial asymmetry, malar fat pad malposition, and asymmetry.
- Complications occurred in 5 of 14 patients, primarily persistent eye irritation and minor scar hypertrophy.
- Vertical re-elevation successfully restored youthful position of deep midface structures with reliable long-term results.
Conclusions:
- Secondary malar fat pad re-elevation is an effective and reliable technique for revising midface rejuvenation.
- This procedure is appropriate for patients experiencing suboptimal results from primary malar fat pad suspension.
- Successful restoration of facial contours and symmetry can be achieved through this secondary intervention.