Facial rejuvenation with SMASectomy and FAME using vertical vectors

Area of Science:

• Plastic Surgery
• Facial Rejuvenation
• Aesthetic Surgery

Background:

• Midface aging significantly impacts overall facial appearance.
• Traditional facelift techniques sometimes yield suboptimal midface results.
• Repositioning the malar fat pad is a key goal in advanced facial rejuvenation.

Purpose of the Study:

• To evaluate the efficacy of Finger-Assisted Malar Elevation (FAME) in improving midface aesthetics.
• To assess the outcomes of FAME combined with short-scar rhytidoplasty and SMASectomy.
• To determine the effectiveness of a specific midface fixation technique.

Main Methods:

• A retrospective study of 205 patients undergoing facial rejuvenation procedures.
• Procedures included short-scar rhytidoplasty, SMASectomy, and FAME.
• A consistent midface fixation technique involving the zygomatic arch periosteum was employed.

Main Results:

• All patients demonstrated elevation of the midface.
• Significant improvements were observed in the nasolabial fold and mandible contour.
• FAME, when combined with rhytidoplasty and SMASectomy, yielded effective midface enhancement.

Conclusions:

• Facial aging should be viewed as a global process requiring individualized treatment.
• Finger-Assisted Malar Elevation (FAME) is an effective technique for midface rejuvenation.
• Deep fixation of the malar fat pad during rhytidoplasty enhances midface results.