Temporal Modified Orbicularis Repositioning: Going beyond the Limits of Temporal Lifting

Area of Science:

• Plastic Surgery
• Facial Aesthetics
• Oculoplastics

Background:

• Periorbital aging presents significant challenges in aesthetic surgery.
• The orbicularis muscle plays a critical role in periorbital aging.
• Previous temporal lifting techniques have limitations in comprehensive rejuvenation.

Purpose of the Study:

• To present a modified and extended temporal lift approach named temporal MORE (modified orbicularis repositioning).
• To evaluate the efficacy of temporal MORE in rejuvenating the entire periorbital area, including the malar region.
• To assess patient and surgeon satisfaction with the temporal MORE procedure.

Main Methods:

• A prospective study involving 212 consecutive patients undergoing temporal MORE.
• Preoperative and 12-month postoperative FACE-Q questionnaires assessed patient-reported outcomes.
• Independent surgeons evaluated preoperative and postoperative photographs for results.

Main Results:

• No major complications were reported in the study cohort.
• Significant periorbital rejuvenation was observed in all patients.
• Patient satisfaction scores (FACE-Q) dramatically improved from 34.29 to 80.11 (P < 0.05).

Conclusions:

• Temporal MORE is a straightforward and reproducible technique for comprehensive periorbital rejuvenation.
• The procedure offers a fast recovery and a low complication rate.
• High patient satisfaction is comparable to surgeon assessments, indicating excellent aesthetic outcomes.