Understanding the finger-assisted malar elevation technique in face lift

Area of Science:

• Plastic Surgery
• Anatomy
• Facial Rejuvenation

Background:

• The finger-assisted malar elevation (FAME) technique is a modern approach to midface rejuvenation.
• Detailed anatomical understanding of FAME has been lacking since its description in 1996.

Purpose of the Study:

• To elucidate the anatomical structures and layers involved in the finger-assisted malar elevation technique.
• To describe the surgical application and safety of FAME.

Main Methods:

• Cadaveric dissection of ten specimens from the orbicularis oculi muscle to the malar fat pad.
• Detailed description of anatomical structures encountered during dissection.
• Application of the FAME technique in clinical cases with documentation of the surgical procedure.

Main Results:

• The FAME technique is performed in a safe, relatively avascular plane superficial to the muscles and deep to the malar fat pad.
• No critical anatomical structures were identified in the dissection plane, confirming the technique's safety.
• Out of 253 patients, only six experienced minor complications.

Conclusions:

• The supra-superficial musculoaponeurotic system (SMAS) plane is a safe and effective anatomical plane for FAME.
• This technique facilitates mobilization of the nasolabial fold, SMAS, and excess skin.
• The primary benefit of FAME is the precise repositioning of the malar fat pad to its original anatomical location over the zygomatic prominence.