PDF
Abstract
Aim: With the normal aging process, the malar fat pad descends vertically, causing a number of characteristic changes to the face. Various techniques have been used to correct ptosis of the malar fat pad.
Methods: The authors describe a technique that is minimally invasive and can be used to correct malar fat pad ptosis. This technique uses a suspension suture to elevate the malar fat pad to a more youthful position. The technique has been successfully used in 71 patients.
Results: All of the cases were performed in the office setting under local anesthesia. There were no complications, and, by patient self-report and physician exam, results have been lasting and satisfactory.
Conclusion: The minimally invasive midface suspension is a safe and successful approach to midface rejuvenation in properly selected patients.
Keywords
Midface rejuvenation
/
midface suspension
/
malar fat pad
/
facial rejuvenation
Cite this article
Download citation ▾
Jorge I. de la Torre, John Lindsey Jr., Dean Cerio, Luis O. Vasconez.
A minimally invasive midface suspension.
Plastic and Aesthetic Research, 2020, 7(1): 11 DOI:10.20517/2347-9264.2019.54
| [1] |
de la Torre JI,Vásconez LO.Suture suspension of the malar fat pad..Aesthet Surg J2002;22:446-50
|
| [2] |
Engle RD,Williams EF.Endoscopic midfacial rejuvenation..Facial Plast Surg Clin North Am2015;23:201-8
|
| [3] |
Tonnard P,Monstrey S,Blondeel P.Minimal access cranial suspension lift: a modified S-lift..Plast Reconstr Surg2002;109:2074-86
|
| [4] |
Chaiet SR.Understanding midfacial rejuvenation in the 21st century..Facial Plast Surg2013;29:40-5
|
| [5] |
Gamboa GM,Jorge I.Surgical anatomy of the midface as applied to facial rejuvenation..Ann Plast Surg2004;52:240-5
|
| [6] |
Collawn SS,Gamboa M,Carriquiry C.Subcutaneous approach for elevation of the malar fat pad through a prehairline incision..Plast Reconstr Surg1996;97:836-41
|
| [7] |
de la Torre JI,De Cordier BC,Fix RJ.Clinical analysis of malar fat pad re-elevation..Ann Plast Surg2003;50:244-8
|
| [8] |
De Cordier BC,Al-Hakeem MS,Costa-Ferreira A.Rejuvenation of the midface by elevating the malar fat pad: review of technique, cases, and complications..Plast Reconstr Surg2002;110:1526-36
|
| [9] |
Ugurbas SH,McCann JD,Murthy R.Suture midface suspension..Head Face Med2006;2:35 PMCID:PMC1634841
|
| [10] |
Ogilvie MP,Tomur SS,Semersky AJ.Rejuvenating the face: an analysis of 100 absorbable suture suspension patients..Aesthet Surg J2018;38:654-63
|
| [11] |
Lindsey JT.Five-year retrospective review of the extended SMAS: critical landmarks and technical refinements..Ann Plast Surg2009;62:492-6
|
| [12] |
Chopan M,Mast BA.The minimal access cranial suspension lift..Clin Plast Surg2019;46:547-57
|
| [13] |
Saltz R.Thirteen years of experience with the endoscopic midface lift..Aesthet Surg J2012;32:927-36
|
| [14] |
Abraham RF,Williams EF.Thread-lift for facial rejuvenation: Assessment of long-term results..Arch Facial Plast Surg2009;11:178-83
|
| [15] |
Keller GS,Blackwell K,Khan S.Elevation of the malar fat pad with a percutaneous technique..Arch Facial Plast Surg2002;4:20-5
|
| [16] |
Laferriere KA.Experience with percutaneous suspension of the malar fat pad for midface rejuvenation..Facial Plast Surg Clin North Am2005;13:393-9
|
| [17] |
Sasaki GH.Meloplication of the malar fat pads by percutaneous cable-suture technique for midface rejuvenation: outcome study (392 cases, 6 years’ experience)..Plast Reconstr Surg2002;110:635-54
|
| [18] |
Owsley JQ.Midface lift of the malar fat pad: technical advances..Plast Reconstr Surg2002;110:674-85
|
| [19] |
Fitzgerald R,Kane M,Vleggaar D.Update on facial aging..Aesthet Surg J.2010;30 Suppl:11S-24S
|
| [20] |
McCollough EG,Shirazi MA.The “Midface-Lift” as a misnomer for correctly identifying procedures designed to lift and rejuvenate the cheeks and malar regions of the face..Arch Facial Plast Surg2009;11:257-62
|
| [21] |
Owsley JQ Jr.Midface lift of the malar fat pad: technical advances..Plast Reconst Surg2002;110:674-85
|