Transtemporal endoscopic multiplanar upper midface lift (MUM lift)

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.
• 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.