Vertical Subperiosteal Mid-face-lift for Treatment of Malar Festoons（4）
Patients
Twelve patients (3 males and 9 females, age = 47 ± 6 years) underwent a SUM-lift between 2006 and 2007 for treatment of malar festoons. The procedure included simultaneous lower blepharoplasty and video-assisted trans-temporal subperiosteal and sub-SMAS tissue release. All patients underwent a thorough, individualized preoperative evaluation to establish a correct diagnosis, evaluate asymmetries, estimate the degree of tissue repositioning, and decide on the level of fixation. In all patients, the distances of the marginal rim of the lower lid and the nasojugal grooves between defined points were measured preoperatively (Fig. 12a) and 6 and 12 months after surgery (Fig. 12b). Therefore, measurements were taken along a perpendicular line from the lateral limbus of the eye to a horizontal line of the oral commissure (Fig. 12a) to analyze the preoperative and postoperative positions of the most inferior point of the nasojugal groove (Fig. 12b).
Fig. 12
Schematic evaluating the position of the nasojugal groove. Measurements were taken along a perpendicular line from the lateral limbus of the eye to a horizontal line of the oral commissure (A) to analyze the preoperative position of the nasojugal groove ...
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