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Updated: May 11, 2026

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
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Transconjunctival midface lift: a "hole" different fixation.

Bryan J Correa1, Bradley Eisemann, Michael Eisemann

  • 1Methodist Hospital, Weill Cornell Medical School, Houston, Texas, USA. mikeeisemann@gmail.com

The Journal of Craniofacial Surgery
|May 30, 2013
PubMed
Summary

Midface rejuvenation using transconjunctival lifting with bony fixation offers improved vector control and long-term durability. This technique effectively addresses midface descent and tear trough deformities for optimal aesthetic outcomes.

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetic Surgery

Background:

  • Midfacial rejuvenation aims for predictable results but faces challenges in achieving optimal lift vector, nasojugal groove camouflage, and long-term durability.
  • Common issues include suboptimal outcomes due to difficulties in controlling the direction and permanence of the lift.

Purpose of the Study:

  • To demonstrate that bony fixation in midface lifting provides superior control over vector placement.
  • To achieve a more durable and better long-term outcome in midfacial rejuvenation procedures.

Main Methods:

  • A series of 12 cases underwent transconjunctival midface lifting, with or without standard facelift, utilizing a novel suture technique with bony fixation.
  • This technique was employed to correct midface descent and tear trough deformities.

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Main Results:

  • All cases achieved good to excellent results at 12-month follow-up, with no instances of eyelid malposition or ectropion.
  • Key advantages included achieving a full vertical lift vector, smoothing the lid-cheek junction, and ensuring durable suspension via bony fixation.

Conclusions:

  • Transconjunctival midface lift with bony fixation is an effective technique for facial aesthetic surgeons.
  • This innovation provides a durable solution for midfacial rejuvenation, enhancing long-term results.