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Subperiosteal Endotine-assisted vertical upper midface lift
1Department of Plastic and Aesthetic Surgery, University Hospital and Medical School of Göttingen, Göttingen, Germany.
Aesthetic Surgery Journal
|April 4, 2009
Summary
The Endotine Midface device offers a simpler, more controlled method for upper midface lifts compared to traditional sutures. This technique enhances the eyelid-cheek complex and midface projection.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Techniques
- Minimally Invasive Procedures
Background:
- Traditional upper midface lifts often rely on sutures for tissue fixation.
- Suture-based fixation can be time-consuming, technically challenging, and require adjustments.
Purpose of the Study:
- To describe the subperiosteal Endotine-assisted vertical upper midface lift technique.
- To evaluate the efficacy and safety of the Endotine Midface device for midface fixation.
Main Methods:
- A cohort of twelve patients underwent the Endotine-assisted vertical upper midface lift.
- The procedure involved simultaneous forehead lift, blepharoplasty, and subperiosteal tissue release and fixation using the Endotine device.
Main Results:
- Significant improvement in the eyelid-cheek complex and nasojugal groove was observed 6 months post-surgery.
- A mean reduction of 5 mm in lower eyelid distance was noted, indicating improved support.
Conclusions:
- Vertical upper midface lifts with Endotine-assisted fixation are safe and predictable over the zygomatic muscle.
- The technique provides enhanced aesthetic control, volume enhancement, and projection of midface tissues.

