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Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients.

Jingang Wang1, Lining Xie2, Ning Zhang1

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This study found that the temporal incision super-high superficial musculoaponeurotic system (SMAS) flap technique for midface lifting achieved high patient satisfaction. The procedure effectively improved midface aesthetics and reduced nasolabial folds with no major complications.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Facial Rejuvenation

Background:

  • Midface aging and sagging tissues are common concerns.
  • Patient satisfaction with surgical interventions for midface rejuvenation is crucial.
  • The temporal incision approach with a super-high superficial musculoaponeurotic system (SMAS) flap is a technique for midface lifting.

Purpose of the Study:

  • To assess patient satisfaction with a temporal incision technique using a super-high SMAS flap for midface lifting.
  • To evaluate the clinical effectiveness of this technique in improving midface aesthetics and nasolabial folds.
  • To identify potential complications associated with the procedure.

Main Methods:

  • A cohort of 95 patients underwent midface lifts using the temporal incision super-high SMAS flap technique between July 2019 and July 2023.
  • SMAS flap dissection extended superiorly, inferiorly, and medially to address specific anatomical areas.
  • The elevated SMAS flap was anchored to the deep temporal fascia to reposition malar fat pads and correct sagging.

Main Results:

  • Sixty-one out of 95 patients completed follow-up assessments ranging from 6 months to 2 years.
  • A majority of patients reported high satisfaction with the aesthetic outcomes of their midface lift.
  • No significant complications, such as permanent facial nerve injury, were reported during the study period.

Conclusions:

  • The temporal incision super-high SMAS face lift technique demonstrates high patient satisfaction and clinical efficacy.
  • The technique effectively enhances midface aesthetics and ameliorates the appearance of nasolabial folds.
  • Successful application requires a thorough understanding of facial anatomy and surgical expertise due to the confined operative field.