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Updated: Apr 20, 2026

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
Published on: January 23, 2026
The transeyelid midface lift.
Vivian T Yin1, Eva Chou2, Tanuj Nakra2
1Texas Oculoplastic Consultants, 3705 Medical Parkway, Suite 120, Austin, TX 78705, USA; Orbital Oncology & Ophthalmic Plastic Surgery Program, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, 1515 Holcomb Boulevard, Unit 1488, Houston, TX 77037, USA.
The subciliary transeyelid approach offers an elegant solution for mild midface descent. This facelift technique is versatile, easily combined with other facial rejuvenation procedures, and has a low complication rate.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Techniques
Background:
- Midface aging involves descent of malar soft tissue.
- Various surgical approaches exist for midface rejuvenation.
Purpose of the Study:
- To evaluate the transeyelid approach, specifically the subciliary technique, for midface lifting.
- To assess its efficacy, advantages, and potential complications.
Main Methods:
- The study focuses on the subciliary transeyelid approach for midface lifting.
- This technique is described as suitable for mild malar soft tissue descent.
Main Results:
- The subciliary transeyelid approach is technically less challenging for experienced surgeons.
- It offers advantages in combination with other procedures like blepharoplasty and forehead lifts.
- Complications are rare, with lid malposition, scarring, and temporary nerve impairment being most common.
Conclusions:
- The transeyelid approach, particularly the subciliary method, is an effective and elegant option for mild midface aging.
- Its versatility and low complication profile make it a valuable tool in facial rejuvenation surgery.
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