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Related Experiment Video

Updated: Jun 24, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

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Transtemporal endoscopic multiplanar upper midface lift (MUM lift).

Antonio de la Fuente, Johannes Franz Hönig

    Aesthetic Surgery Journal
    |April 3, 2009
    PubMed
    Summary

    The endoscopic vertical multiplanar upper midface elevation (MUM lift) offers natural facial rejuvenation by releasing midface tissues in various planes. This minimally invasive approach improves the upper midface and forehead with reduced tension and vascular compromise.

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    Area of Science:

    • Plastic Surgery
    • Facial Rejuvenation Techniques
    • Minimally Invasive Procedures

    Background:

    • Minimally invasive techniques are effective for brow ptosis and forehead rhytids.
    • Facial aging occurs more vertically than obliquely, suggesting a vertical correction approach.
    • Traditional methods may involve extensive incisions.

    Purpose of the Study:

    • To introduce an endoscopic vertical multiplanar upper midface elevation (MUM lift).
    • To present a technique that avoids extensive lateral temporal and preauricular incisions.
    • To evaluate the efficacy of the MUM lift for facial rejuvenation.

    Main Methods:

    • 53 patients (8 men, 45 women) underwent the MUM lift between 1996 and 2003.
    • The procedure involved endoscopic transtemporal sub-superficial musculoaponeurotic system (sub-SMAS) and subcutaneous upper midface tissue release.

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  • Combined with endoscopic-assisted forehead lift and blepharoplasties, with verticolateral repositioning and fixation.

    • Main Results:

    • Multiplanar release reduced tension, providing natural upper midface and forehead rejuvenation.
    • Significant rejuvenation of the nasojugal groove was observed at 6 months postoperatively.
    • A mean drooping of the lateral brow position (2.3 cm) was noted.

    Conclusions:

    • The transtemporal sub-SMAS and subcutaneous upper midface lift (MUM lift) is safe and predictable.
    • Combined with limited incision foreheadplasty, it reduces vascular compromise.
    • The procedure can be safely performed over the zygomatic muscle.