Transtemporal midface lifting to blend the lower eyelid-cheek junction

Area of Science:

• Plastic Surgery
• Facial Rejuvenation
• Aesthetic Medicine

Background:

• Midface aging presents as ptosis, hollowing, and folds.
• Existing techniques have limitations in addressing these concerns comprehensively.
• The endoscopic forehead midface lift offers a novel approach.

Purpose of the Study:

• To evaluate the efficacy of the endoscopic forehead midface lift.
• To assess improvements in specific facial aging features.
• To analyze the technique's impact on patient satisfaction.

Main Methods:

• Endoscopic approach for midface suspension.
• En bloc release and suspension of the SOOF and malar fat pad.
• Dual vector pull (superior and lateral) for tissue repositioning.

Main Results:

• Significant improvement in infraorbital hollowing and midface ptosis.
• Reduction in nasolabial fold depth and degree of jowling.
• Superior vector effectively reverses aging forces, with lateral pull effacing folds.

Conclusions:

• The endoscopic forehead midface lift is a powerful and safe technique.
• Dual vector pull achieves superior aesthetic outcomes.
• Careful patient selection and management minimize complications for high satisfaction.