Dual Plane Midface Lift Through Subperiosteal and Subcutaneous Dissection

ABSTRACT

The standard SMAS face lift and deep plane face lift don't adequately correct an aging midface, especially nasojugal groove and nasolabial fold. An endoscopic subperiosteal and subcutaneous midface lift reposition the midface tissue more superiorly and successfully rejuvanate the nasojugal groove and nasolabial fold, creating a more youthful appearance. This study is about endoscopic subperiosteal and subcutaneous midface lift which had been performed to 13 patients in our hospital from April 1999 to April 2001. The deep layer of the midface soft tissue is suspended by subperiosteal dissection and the superficial layer, including skin and malar fat pad, suspended by subcutaneous dissection. Both subperiosteal and subcutaneous planes are easy and safe dissection planes which prevent injury of the facial nerve branches. The endoscopic midface lift with subperiosteal and the subcutaneous dissections is an effective method to correct infraorbital hollowness, nasojugal groove and nasolabial fold.