Subperiosteal Endotine-assisted vertical upper midface lift.
نویسنده
چکیده
BACKGROUND In the typical upper midface lift, tissue fixation is usually accomplished through a series of sutures that may be time consuming, technically demanding, difficult to apply, and also require frequent rearrangement and adjustment. OBJECTIVE The use of an Endotine Midface (Coapt Systems, Palo Alto, CA) fixation device through a technique termed the subperiosteal Endotine-assisted vertical upper midface lift is described. METHODS Twelve patients underwent subperiosteal Endotine-assisted vertical upper midface lift, which included simultaneous forehead lift, blepharoplasty and Endotine-assisted transtemporal-transoral subperiosteal upper midface tissue release, verticolateral elevation and fixation of the upper midface. RESULTS The technique we used achieved a significant improvement of the eyelid-cheek complex and rejuvenation of the nasojugal groove as evaluated 6 months after surgery. Preoperative and postoperative assessments of the lower eyelid distance revealed a mean shortening of 5 mm +/- 2 mm. CONCLUSIONS The results confirmed that vertical upper midface lifts combined with Endotine-assisted midface fixation can be safely and predictably performed over the zygomatic muscle. This technique allows for simple adjustments of tension and position, thereby providing greater aesthetic control of cheek elevation and projection. It also achieves volume enhancement and projection of the midface tissue.
منابع مشابه
Safety and efficacy of midface-lifts with an absorbable soft tissue suspension device.
OBJECTIVE To evaluate the safety and efficacy of midface-lifting using an absorbable suspension device (Endotine ST). DESIGN Prospective cohort of 10 consecutive adult female patients seen in a private practice who underwent isolated midface-lift without accompanying eyelid surgery or volume augmentation procedures in the setting of an accredited ambulatory surgical center. All patients under...
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The Endotine midface technique, through an endoscopic temporal-incision only approach, is the author's preferred method of malar fat pad suspension and fixation. The bioabsorbable Endotine device avoids an intraoral incision, eliminates sutures, offers multipoint fixation, and the leash fixation mechanism provides fast and simple adjustability for optimal control of midface elevation and volume.
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BACKGROUND Numerous techniques have been used to rejuvenate the aging midface. The Endotine midface technique involves an endoscopic temporal approach, including midface dissection and malar suspension with fixation. The Endotine device (Microaire, Charlottesville, Virginia) eliminates the intraoral incision and use of sutures, enabling multipoint fixation and fast, simple adjustability for opt...
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ورودعنوان ژورنال:
- Aesthetic surgery journal
دوره 27 3 شماره
صفحات -
تاریخ انتشار 2007