["Total SMAS lift" or deep facial lift by temporal approach. Initial report]

The authors present a new technique of face lift via a temporal approach which allows them to perform a "Total SMAS Lift" of the supra- and infra-zygomatic region. They use the passage on the deep side of the superficial layer of the temporal fascia, which avoids damage to the frontal branch of the facial nerve. Undermining of the periorbital area is performed under the muscle, but above the periosteum of the malar bone. This technique is situated between the subcutaneous face lift and the superiostal mask-lift. This technique can also be combined with a frontal or cervico-facial lift. This "Total SMAS Lift" is essentially indicated in patients with early ptosis of the cheek, the peri-orbital area ant the naso-labial folds and the aesthetic results are gratifying.