Medial Limited Midface-Lift-16-Year Experience

Lifting the soft tissues from the midface is a necessary component in many cases in complex facial rejuvenation. Despite the widespread use of these surgeries, technical difficulties and a significant number of complications persist.

This paper details the technique of medial limited mid-facelift with the main purpose of correcting age-related changes of the lower eyelids and the middle third of the face.

In all clinical cases, the surgery was performed through the subciliary approach. A limited subperiosteal dissection of the midface soft tissues was used, which in all cases was not performed medial to the lateral edge of the infraorbital neurovascular bundle. The flap was carried out by cutting the periosteum, then was elevated in the vertical direction and was fixed to the bony part of the orbit through several holes drilled in the lower edge of the orbit.

The study is based on 569 clinical cases over a period of 16 years from 2007 to 2023. The evaluation of the appearance of the lower eyelid area and the middle zone of the face was made, as well as changes in the length of the lower eyelid before and after surgery.

Medial limited subperiosteal mid-facelift makes it possible to obtain a harmonious and stable result of rejuvenation of this area. Limited tissue mobilization and reliable fixation of the tissue flap to the orbital margin, made it possible to achieve a short-term rehabilitation period and a minimum number of complications requiring repeated treatment.

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