eMedicine Specialties > Plastic Surgery > Rhytidectomy

Facelift, Mid Face: Follow-up

Author: Keith M Robertson, MD, LRCSI, LRCPI, FACS, Consulting Staff, Chesapeake Plastic Surgery Associates, Suburban Hospital, Esthetique Internationale; Consulting Staff, Department of Plastic Surgery, Greater Baltimore Medical Center
Coauthor(s): Oscar Ramirez, MD, Clinical Assistant Professor, Department of Plastic Surgery, Johns Hopkins University, University of Maryland
Contributor Information and Disclosures

Updated: Oct 3, 2006

Outcome and Prognosis

The authors have performed the endoscopic midface lift since 1993. This operation can produce reliable and reproducible results and can improve the tear trough, refine the projection of the cheek, elevate the jowls, and lift both the corner of the mouth and the lateral canthus of the eye. Asymmetry of the cheek mound also can be addressed by placing a larger volume of Bichat fat pad to the smaller cheek. Fine-tuning of this area and of the nasolabial crease also can be accomplished using fat-grafting techniques.

For additional relevant images see the authors' Web site Scarless Facelift or the authors' other eMedicine article Facelift, Subperiosteal.

Future and Controversies

While this procedure is very appealing to the patient (addressing the cheek mound through 2 small nonvisible scars), it may not be as appealing to the surgeon because of the steep learning curve. Once mastered, the technique is safe and reliable. It is technically more challenging than the endoscopic forehead lift. Although it involves dissection millimeters away from the frontal branch of the facial nerve, it is much safer than the intermediate plane techniques.

 


More on Facelift, Mid Face

Overview: Facelift, Mid Face
Treatment: Facelift, Mid Face
Follow-up: Facelift, Mid Face
Multimedia: Facelift, Mid Face
References
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References

  1. Fuente del Campo A. Centrofacial lifting. Perspect Plast Surg. 1993;7:87-99.

  2. Hester TR, Codner MA, McCord CD. The "centrofacial approach" for correction of facial aging using the transblepharoplasty subperiosteal cheek lift. Aesthet Surg Q. 1996;16:51-58.

  3. Ramirez OM, Maillard GF, Musolas A. The extended subperiosteal face lift: a definitive soft-tissue remodeling for facial rejuvenation. Plast Reconstr Surg. Aug 1991;88(2):227-36; discussion 237-8. [Medline].

  4. Ramirez OM. Endoscopic full facelift. Aesthetic Plast Surg. Fall 1994;18(4):363-71. [Medline].

  5. Ramirez OM. Buccal fat pad pedicle flap for midface augmentation. Ann Plast Surg. Aug 1999;43(2):109-18. [Medline].

  6. Ramirez OM, Santamarina R. Spatial orientation of motor innervation to the lower orbicularis oculi muscle. Aesthetic Plast Surg. 2000;20:107-113.

  7. Tessier P. [Subperiosteal face-lift]. Ann Chir Plast Esthet. 1989;34(3):193-7. [Medline].

  8. Tideman H, Bosanquet A, Scott J. Use of the buccal fat pad as a pedicled graft. J Oral Maxillofac Surg. Jun 1986;44(6):435-40. [Medline].

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Further Reading

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Keywords

mid face lift, cervicofacial rhytidectomy, malar fat, midface retrusion, subperiosteal facelift, face lift, suborbicularis oculi fat, SOOF

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Contributor Information and Disclosures

Author

Keith M Robertson, MD, LRCSI, LRCPI, FACS, Consulting Staff, Chesapeake Plastic Surgery Associates, Suburban Hospital, Esthetique Internationale; Consulting Staff, Department of Plastic Surgery, Greater Baltimore Medical Center
Keith M Robertson, MD, LRCSI, LRCPI, FACS is a member of the following medical societies: American College of Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Oscar Ramirez, MD, Clinical Assistant Professor, Department of Plastic Surgery, Johns Hopkins University, University of Maryland
Oscar Ramirez, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, and American Society for Laser Medicine and Surgery
Disclosure: Nothing to disclose.

Medical Editor

David W Furnas, MD, Clinical Professor Emeritus, Department of Surgery, Division of Plastic and Reconstructive Surgery, University of California at Irvine
David W Furnas, MD is a member of the following medical societies: Alpha Omega Alpha, American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Head and Neck Society, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Surgery of the Hand, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, American Society of Transplantation, California Medical Association, Phi Beta Kappa, Plastic Surgery Research Council, Royal College of Physicians and Surgeons of Canada, Royal Society of Medicine, and Society of University Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS, Consulting Surgeon, Iowa City Plastic Surgery
Disclosure: Ethicon  Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Medicis Intellectual property rights None

 
 
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