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A simplified approach to midface aging.

Ryan N Heffelfinger¹, Keith E Blackwell, Jeffrey Rawnsley

¹Division of Head and Neck Surgery, UCLA Medical Center, University of California, Los Angeles, CA, USA.

Archives of Facial Plastic Surgery

|January 17, 2007

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Subperiosteal midface-lifting using the Coapt Endotine device offers a simple and effective technique for facial rejuvenation. This method demonstrates a low complication rate, with minor issues easily corrected, highlighting its reliability.

Area of Science:

Plastic Surgery
Facial Rejuvenation Techniques

Background:

Midface aging leads to volume loss and descent.
Surgical correction aims to restore youthful contours and improve appearance.

Purpose of the Study:

To review the experience with subperiosteal midface-lifting using a specific fixation device.
To detail the technical aspects and outcomes of the procedure.

Main Methods:

121 patients underwent midface-lifting and meloplication with the 82/18 L-lactide/glycolide (Coapt Endotine Midface ST 4.5) device.
Procedures were performed by two senior surgeons over a 26-month period.
Data collected on complications, revisions, and patient outcomes.

Main Results:

No revisions were required in 110 cases performed by the senior author.

Related Experiment Videos

Two cases of "puckering" were successfully corrected with injections.

Two cases of asymmetry were noted in the junior author's 11 cases, with one requiring revision.

Conclusions:

Subperiosteal midface-lifting with the Coapt Endotine device is a simple and effective technique.
The procedure is easily learned and applied with a favorable safety profile.
It offers reliable results for facial rejuvenation.