Glidelift: No Visible Scar Approach to Periorbital Rejuvenation

An increasing number of younger individuals are now seeking facelift procedures not only for rejuvenation but also to enhance facial contours, particularly periorbital aesthetics and midface projection, while effective, endoscopic techniques often rely on suspension sutures, require specialized equipment, and are time intensive.

This study introduces the Glidelift™ technique, a novel approach that ensures precise dissection under direct vision while avoiding visible scarring. It enables meticulous periorbital rejuvenation and reliable melo fat pad elevation, resulting in a refined facial contour.

A retrospective analysis was conducted on 53 patients (48 females, 5 males) who underwent Glidelift™ between August 2021 and November 2023. The procedure involved concealed incisions, controlled dissection under direct vision, canthal shaping, plication of the melo fat pad to the lateral orbital rim, and the use of a surgical net for comprehensive brow and midface rejuvenation. Surgical outcomes were evaluated through clinical follow-ups, comparative photograph analysis, complication assessment, and patient satisfaction.

The mean patient age was 42.3 years (range 30-47), with a mean follow-up period of 17.3 months. The average surgical time was 123 ± 16 min. Clinical and photographic assessments demonstrated improved brow contour, a more defined canthal tilt, a shortened lower eyelid-cheek junction, and increased malar projection. Patient satisfaction was high for both periorbital shape and midface contour (p < 0.01).

Glidelift™ represents a significant advancement in facial aesthetic surgery, combining the benefits of existing techniques while minimizing their limitations. Proper patient selection and thorough counseling remain essential for achieving optimal outcomes.

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