Dual-Plane Midface Lift Through Transoral and Transtemporal Approach

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Facial Anatomy

Background:

• Growing demand for midface and temporal lifts driven by social media and younger demographics.
• Increasing preference for scarless surgical techniques like transtemporal/transoral approaches.
• Need for procedures combining superficial and deep dissection for enhanced outcomes.

Purpose of the Study:

• To evaluate a dual-plane technique for midface and temporal lifting.
• To assess volumetric changes and aesthetic results using the P1/P2 ratio.
• To combine superficial and deep dissection advantages in one procedure.

Main Methods:

• Retrospective analysis of 184 patients undergoing dual-plane midface and temporal lift.
• Preoperative and postoperative P1/P2 ratio measurements for midface volume assessment.
• Evaluation of complication rates and management strategies.

Main Results:

• Significant improvement in P1/P2 ratio post-surgery (p < 0.05), indicating successful volume redistribution.
• Effective management of complications such as hypoesthesia, bruising, and infection.
• Minor asymmetries noted, with revisions offered but declined by patients.

Conclusions:

• The dual-plane technique provides hidden incisions and reduces scar-related issues.
• This approach is suitable for both beautification and rejuvenation, addressing tear troughs and lateral canthus.
• Offers a bi-vectoral lift for favorable aesthetic outcomes with manageable risks.