Elevation of the Malar Fat Pad With a Percutaneous Technique（6）
COMMENT
A simplified method of malar fat pad elevation is described. This method allows for elevation of the malar fat pad without extensive dissection. Complications were minor with this procedure when compared with endoscopic midface-lifting and complex deep-plane face-lifting procedures.
The procedure may be performed in conjunction with a face-lift (open technique), allowing for a more conservative face-lift technique than is customarily used to elevate the malar pad. It may also be performed without a face-lift to allow minimally invasive rejuvenation of the midface in the younger patient, in the older patient who has previously had a face-lift, or in the older patient whose aging is confined to the middle third of the face.
ARTICLE INFORMATION
Accepted for publication November 7, 2001.
This study was presented at the American Academy of Facial Plastic and Reconstructive Surgery Spring Meeting, Palm Desert, Calif, May 13, 2001.
Corresponding author and reprints: Gregory S. Keller, MD, 222 W Pueblo St, Santa Barbara, CA 93105 (e-mail: faclft@aol.com).
REFERENCES
1
Millard DR JrYuan RTDevine JW Jr
A challenge to the undefeated nasolabial folds Plast Reconstr Surg. 1987;8037- 46
2
Ivy EJLorenc ZPAston SJ
Is there a difference? a prospective study comparing lateral and standard SMAS face lifts with extended SMAS and composite rhytidectomies Plast Reconstr Surg. 1996;981135- 1143
3
Keller GSCray J
Suprafibromuscular facelifting with periosteal suspension of the superficial musculoaponeurotic system and fat pad of Bichat rotation: tightening the net Arch Otolaryngol Head Neck Surg. 1996;122377- 384
4
Hamra S
The deep-plane rhytidectomy Plast Reconstr Surg. 1990;8653- 61
5
Psillakis J
Face lift without preauricular scars Plast Reconstr Surg.1994;941093- 1094
6
Owsley JQ
Lifting the malar fat pad for correction of prominent nasolabial folds Plast Reconstr Surg. 1993;91463- 476
7
Bosse JPPapillon J
Surgical anatomy of the SMAS at the malar region Transactions of the Ninth International Congress of Plastic and Reconstructive Surgery. New York, NY McGraw-Hill Co1987;348- 349
8
Quatela VCSabini P
Techniques in deep plane face lifting Facial Plast Surg Clin North Am. 2000;8193- 209
9
Anderson RDLo MW
Endoscopic malar/midface suspension procedure Plast Reconstr Surg. 1998;1022196- 2208
10
Isse NG
Endoscopic facial rejuvenation Clin Plast Surg. 1997;24213- 231
11
Freeman MS
Endoscopic malar pad lift and subperiosteal midface lift Keller GSedEndoscopic Facial Plastic Surgery. St Louis, Mo Mosby–Year Book Inc1997;109- 136
12
Hester TR JrCodner MAMcCord CDNahai FGiannopoulos
A Evolution of technique of the direct transblepharoplasty approach for the correction of lower lid and midfacial aging: maximizing results and minimizing complications in a 5-year experience Plast Reconstr Surg.2000;105393- 406discussion407- 408
13
Edelstein CBalch KShorr NGoldberg RA
The transeyelid subperiosteal midface-lift in the unhappy postblepharoplasty patient Semin Ophthalmol.1998;13107- 114
14
Su NN
Closed suspension mini–cheek lift to reduce the nasolabial fold: a preliminary report Am J Cosmetic Surg. 1995;1231- 34
15
Sasaki G
Percutaneous suture elevation of malar fat pads Paper presented at: Annual Meeting of the American Society for Plastic Surgery May 4, 2001 New York, NY Course 206
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