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Updated: Jul 17, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Subperiosteal facelift: a 5-year experience.

Lucas Gomes Patrocínio1, José Antônio Patrocínio, Hugo Gonçalves Couto

  • 1Otorhinolaryngology Department, Medical School, Faculdade de Medicina, Universidade Federal de Uberlândia, Minas Gerais, Brazil. lucaspatrocinio@triang.com.br

Brazilian Journal of Otorhinolaryngology
|January 16, 2007
PubMed
Summary

Subperiosteal facelift offers significant aesthetic improvements for the midface, addressing concerns like malar prominence and jawline definition. This surgical approach demonstrates satisfactory outcomes in most patients, with a low rate of complications requiring revision.

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Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation Techniques

Background:

  • Classic rhytidectomy offers limited improvement for the central face.
  • Addressing malar prominence ptosis, nasolabial folds, and jawline laxity often requires specialized approaches.

Purpose of the Study:

  • To present cases and evaluate the outcomes and complications of subperiosteal facelift.
  • To assess the efficacy of subperiosteal facelift in improving specific facial aesthetic concerns.

Main Methods:

  • Retrospective analysis of 25 patients (44-60 years, 24 female) who underwent subperiosteal facelift between 2001 and 2005.
  • Evaluation of patient and surgeon-reported results and documented complications.

Main Results:

  • Satisfactory aesthetic results were achieved in 20 patients (80%).

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  • Improvements noted in nasolabial lines, malar prominence, and jawline definition.
  • Complications included aesthetic deficits in 4 patients, revision surgery in 1, skin retraction in 4, and temporary facial nerve paralysis in 1.

    • Conclusions:

    • Subperiosteal facelift, particularly with temporal access, yields satisfactory results in the majority of cases.
    • The procedure effectively addresses midface aging concerns with a manageable complication profile.