Subperiosteal Midface-Lift

Patrocinio, Lucas G. MD, PhD
Patrocinio, Tomas G. MD
Patrocinio, Jose A. MD, PhD

¹Division of Facial Plastic, Department of Otolaryngology, Medical School, Federal University of Uberlandia, Uberlandia, MG, Brazil
²Department of Otolaryngology, Medical School, Federal University of Uberlandia, Uberlandia, MG, Brazil

Address for correspondence Lucas G. Patrocinio, MD, PhD, Division of Facial Plastic, Department of Otolaryngology, Medical School, Federal University of Uberlandia, Rua Arthur Bernardes, 555-1° andar Uberlandia, MG, Brazil 38400-368, [email protected]

Issue Theme Facial Plastic Surgery in Latin America; Guest Editor, Roxana Cobo, MD

Facial Plastic Surgery 29(3):p 206-213, June 2013. | DOI: 10.1055/s-0033-1347000

Abstract

The subperiosteal midface-lift has benefited from significant technological advances in medicine. The endoscope now allows extensive subperiosteal undermining of facial soft tissue through minimal access incisions. Improved understanding of facial anatomy and the facial aging process now allow repositioning and remodeling of the soft tissue envelope with excellent aesthetic results. The subperiosteal midface-lift by a temporal approach is a procedure designed to rejuvenate the middle third of the face. After subperiosteal detachment, the soft tissues of the cheek, jowls, lateral canthus, and inferior orbital rim can be lifted to reestablish their youthful relationship with the underlying skeleton. It is a technique that produces satisfactory cosmetic results in most cases, causing malar augmentation, nasolabial fold improvement, and mild jowl improvement. We describe our preferred technique in detail and discuss its indications, complications, advantages, and limitations.