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Related Experiment Videos

The vertical midface lift. An improved procedure.

B Cornette de Saint-Cyr1, L J Garey, G F Maillard

  • 1Clinique Spontini, 15 Rue Spontini, F-75116 Paris, France.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|June 16, 2007
PubMed
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This novel facelift procedure corrects aging facial vectors with minimal risk and tissue removal. It effectively restores cheek volume and reduces periorbital hollowness while preserving natural expression.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Anatomical Dissection

Background:

  • Aging faces often exhibit vertical vector changes, leading to volume loss and hollowness.
  • Existing facelift techniques may involve significant tissue removal, risk, or unnatural results.
  • Correction of periorbital hollowness and cheek volume requires precise anatomical manipulation.

Purpose of the Study:

  • To describe a novel anatomically-based facelift procedure for correcting vertical aging vectors.
  • To evaluate the efficacy and safety of this minimally invasive facelift technique.
  • To assess the preservation of natural facial expression and aesthetic outcomes.

Main Methods:

  • Subperiosteal mobilization of the cheek through a blepharoplasty incision.

Related Experiment Videos

  • Combined dissection via a temporal incision to the infraorbital region.
  • Cheek suspension using a Hagedorn needle and suture material, with fixation to the temporalis aponeurosis, often utilizing an Endotine Midface device.

    • Main Results:

    • Excellent or good results were achieved in 145 out of the first 150 patients.
    • The procedure effectively readjusts cheek volume and corrects periorbital hollowness.
    • Natural facial expression is preserved due to no alteration in the lateral canthus position.

    Conclusions:

    • This anatomically-based facelift offers surgical simplicity, minimal risk, and effective rejuvenation.
    • It represents a revival of the subperiosteal approach, abandoning endoscopic methods.
    • The technique requires plastic surgical skill for subperiosteal dissection and delicate eyelid surgery.