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Updated: Apr 13, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Transpalpebral midface lift
Anthony P Sclafani1, Gregory Dibelius2
1Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, 310 East 14th Street, New York, NY 10003, USA; Department of Otolaryngology- Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, 310 East 14th Street, New York, NY 10003, USA.
Midface rejuvenation techniques have evolved to achieve more vertical elevation, moving beyond traditional methods. Modern approaches, informed by a deeper understanding of aging, utilize lower blepharoplasty techniques for enhanced facial harmony.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Facial Anatomy
Background:
- Midface aging presents complex aesthetic challenges.
- Requires individualized and multifaceted surgical solutions.
- Patient interest in midface rejuvenation is increasing.
Purpose of the Study:
- To provide surgical familiarity with evolving midface rejuvenation techniques.
- To achieve harmonious rejuvenation of the entire face.
- To detail modern centrofacial approaches.
Main Methods:
- Evolution from traditional laterally based rhytidectomy with superolateral elevation.
- Adoption of modern centrofacial approaches.
- Integration of lower blepharoplasty surgical techniques.
Main Results:
- Modern techniques achieve more vertical vectors of elevation.
- Approaches are informed by an evolving understanding of aging processes.
- Enhanced aesthetic outcomes in midface rejuvenation.
Conclusions:
- Midface rejuvenation requires specialized surgical knowledge.
- Centofacial approaches offer improved rejuvenation outcomes.
- Lower blepharoplasty techniques are foundational to modern midface lifts.
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