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Trinity Lift: A Unique Technique for Endoscopic Midface and Lower Periorbital Unit Lift.
Ufuk Askeroglu1, Turgut Kayadibi2, Ozgur Pilanci3
1UA Esthetic Clinic, Istanbul, Turkey.
Aesthetic Plastic Surgery
|January 16, 2021
Summary
This study introduces the Trinity lift, an endoscopic midface rejuvenation technique using percutaneous needles. The method achieved significant rejuvenation and high patient satisfaction with stable, symmetrical results in 75 patients.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation
- Endoscopic Surgery
Background:
- Facial aging involves loss of balance in skin, fat, muscle, and bone, particularly in the midface.
- Traditional facelifts offer limited midface improvement.
- Endoscopic techniques have evolved for facial surgery.
Purpose of the Study:
- To detail a novel endoscopic subperiosteal dissection and percutaneous needle suspension technique for midface lifting.
- To evaluate the outcomes of this technique in young to middle-aged patients.
Main Methods:
- A combined endoscopic subperiosteal dissection and percutaneous needle technique was employed.
- The Trinity lift method focused on suture suspension and fixation.
- The technique was applied to 75 patients.
Main Results:
- Significant rejuvenation of the nasojugal groove was observed.
- High patient satisfaction was reported.
- All patients achieved satisfactory, symmetrical, and stable midface elevation without revision.
Conclusions:
- The Trinity lift facilitates stronger, easier, and faster suture application in endoscopic facial surgery.
- This technique avoids additional mucosal or transcutaneous incisions.
- The method provides effective midface rejuvenation.

