Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Subperiosteal face lift: a 200-case, 4-year review

H L Heinrichs1, A A Kaidi

  • 1Division of Plastic and Reconstructive Surgery, Loma Linda University Medical Center, Newport Beach, Calif, USA.

Plastic and Reconstructive Surgery
|September 4, 1998
PubMed
Summary

The subperiosteal facelift effectively rejuvenates the midface and upper face by addressing soft tissue ptosis. This technique, focusing on the zygomatic arch, offers excellent aesthetic results with a low complication rate.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Subperiosteal rhytidectomy provides superior correction of midfacial aging.

Aesthetic surgery journal·2009
Same author

Advances in microvascular free tissue transfer.

The Western journal of medicine·1997
Same author

Effects of interleukin-6 and its neutralizing antibodies on peritoneal adhesion formation and wound healing.

The American surgeon·1996
Same author

Preoperative administration of antibodies against tumor necrosis factor-alpha (TNF-alpha) and interleukin-1 (IL-1) and their impact on peritoneal adhesion formation.

The American surgeon·1995
Same author

Tumor necrosis factor-alpha: a marker for peritoneal adhesion formation.

The Journal of surgical research·1995
Same author

Intraradicular disc herniation: a case report and review of the literature.

Journal of spinal disorders·1995

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Aesthetic Surgery

Background:

  • Significant ptosis of midface soft tissue is a common concern.
  • Subperiosteal facelift is a surgical approach to address aging in the upper and middle face.
  • Previous rhytidectomy may influence surgical planning.

Purpose of the Study:

  • To review a 4-year series of subperiosteal facelifts in 200 patients.
  • To emphasize the handling of the zygomatic arch during the procedure.
  • To evaluate the efficacy and complication rates of the subperiosteal facelift technique.

Main Methods:

  • A retrospective review of 200 consecutive subperiosteal facelift cases over 4 years.
  • Dissection of the maxilla, zygoma, periorbital areas, and anterior zygomatic arch via gingivo-buccal or subciliary incisions.

Related Experiment Videos

  • Posterior zygomatic arch dissection in a plane superficial to the innominate fascia.
  • Concurrent brow lift (endoscopic or coronal) and dissection of lateral orbital rims.

    • Main Results:

    • The primary indication was significant midface soft tissue ptosis.
    • Overall complication rate was 5%, including transient nerve weakness and hematoma.
    • Excellent aesthetic outcomes were achieved, with notable improvement in eyebrow, lateral canthus, and midface elevation.
    • 13% of patients required a concurrent upper blepharoplasty.

    Conclusions:

    • The subperiosteal facelift is a reliable procedure for rejuvenating the upper and middle thirds of the face.
    • Systematic posterior approach to the zygomatic arch simplifies the surgery and minimizes facial nerve injury risk.
    • The technique yields excellent aesthetic results with a low complication profile.