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Face lift with reposition malarplasty.

Rong-Min Baek1, Sang Woo Lee

  • 1Seoul, Korea From the Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine.

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|February 3, 2009
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Summary

Combining reposition malarplasty with facelift surgery effectively rejuvenates aging faces. This approach enhances facial contours and patient satisfaction, particularly for those with wide faces and prominent cheekbones.

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Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Aesthetic Surgery

Background:

  • Restoring youthful facial contours requires attention to malar highlights and zygomatic fullness.
  • Standard facelifts may not adequately address midface aging, especially in patients with wide faces or prominent malar eminences.
  • Facelift alone can accentuate facial width in certain patients.

Purpose of the Study:

  • To evaluate the efficacy of combining reposition malarplasty with facelift surgery for facial rejuvenation.
  • To improve facial aesthetics in patients with aging faces, prominent malar complexes, and wide facial features.

Main Methods:

  • A combined procedure involving malar repositioning (superiorly and medially) and subperiosteal midface and forehead lifts was performed on 96 patients between 1989 and 2005.
  • Standard subcutaneous facelift with superficial musculoaponeurotic system (SMAS) procedures were added for lower face and neck concerns.
  • Patients had aging faces with prominent, wide malar complexes.

Main Results:

  • Postoperative repositioning of malar highlights resulted in improved facial aesthetics.
  • All 96 patients reported high satisfaction with their surgical outcomes.
  • No significant complications, including facial nerve injury or flap necrosis, were observed.

Conclusions:

  • The combination of reposition malarplasty and facelift is an effective method for facial rejuvenation.
  • This combined approach offers long-lasting and satisfactory results, particularly for patients with wide faces and strong malar eminences.
  • The technique successfully addresses midface aging and enhances overall facial harmony.