Guided suturing technique for midface lift through minimal temporal incision.

Area of Science:

• Plastic Surgery
• Facial Rejuvenation
• Aesthetic Surgery

Background:

• The midface presents significant challenges in rejuvenation surgery.
• Achieving extensive dissection and en bloc elevation of composite tissues through minimal incisions is difficult.

Purpose of the Study:

• To evaluate a novel technique for midface rejuvenation using a titanium cable wire system.
• To assess the efficacy and safety of guided suspension suturing for midface lifting.

Main Methods:

• A total of 22 composite midface lift cases were performed using a titanium cable wire.
• The wire formed an elastic loop guiding three SMAS-suspending sutures through a temporal incision for fixation to the deep temporal fascia.
• Postoperative complications and patient-reported outcomes were evaluated.

Main Results:

• All surgeries were successfully completed without major complications like nerve injury or alopecia.
• Significant improvements were observed in midface sagging, eye bags, and nasolabial folds.
• 90% of patients reported satisfaction after an average follow-up of 16.9 months.

Conclusions:

• The guided suspension suturing technique provides a convenient and efficient method for multi-point anchorage of the composite malar flap.
• Proper execution allows sutures to engage deeper SMAS layers, ensuring firm suspension in midface rejuvenation.
• This technique offers a reliable approach for enhancing midface aesthetics.