Midface-lift patient satisfaction: A 5-year follow-up study

Pascali, Michele; Quarato, Davide; Bocchini, Ilaria; Cervelli, Valerio

doi:10.4103/0970-0358.197223

Cited by 5 publications

(6 citation statements)

References 19 publications

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“…The durability of other surgical approaches to the midface has been explored in the literature. In a recent study conducted by Pascali et al, 11 the short-and long-term results of 2 midface lift techniques were evaluated using patient satisfaction questionnaires administered at 1 and 5 years postoperatively. The authors report that most patients remained satisfied with their appearance when surveyed at 1 and 5 years postoperatively and conclude that the effects of the midface lift persist over time.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] In addition, the durability of various midface lift approaches have also been explored, although outcome measures have largely been subjective and the duration of follow-up is limited. [9][10][11] The transtemporal preperiosteal midface lift is a single suture technique that permits elevation of the orbicularis oculi muscle and malar fat pad while allowing direct visualization and selective, partial disruption of the midfacial ligaments. The procedure is performed endoscopically and is associated with minimal morbidity.…”

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confidence: 99%

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Investigation of the Longevity of the Endoscopic Midface Lift

Shtraks

Fundakowski

et al. 2019

JAMA Facial Plast Surg

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IMPORTANCETo our knowledge, until now, the efficacy and durability of the transtemporal endoscopic preperiosteal midface lift has not been reported in the literature.OBJECTIVE To determine the efficacy and longevity of the endoscopic preperiosteal midface lift using objective measurements and validated aesthetic scales. DESIGN, SETTING, AND PARTICIPANTSThis retrospective review included patients 18 years or older who were treated for aging midface by endoscopic midface lift by the senior author (A.E.W.) between June 2000 and August 2016. Patients were categorized based on length of follow-up into 3 groups: (1) short-term (1-3 years), (2) intermediate-term (3-5 years), and (3) long-term (>5 years). INTERVENTIONS OR EXPOSURES Endoscopic preperiosteal midface lift. MAIN OUTCOMES AND MEASURES(1) Objective measurements of midfacial height (the width of the interzygomatic distance of the midface to the medial canthus [WIZDOM-MC]), (2) validated regional aesthetic scales, and (3) global aesthetic scoring systems measured preoperatively, 3 to 6 months postoperatively, and at the most recent follow-up visit.RESULTS Adult patients 18 years or older (median [range] age, 59 [31-79] years) who were treated for aging midface by undergoing an endoscopic midface lift were included in this study. The medical records of 143 patients were reviewed (135 women and 8 men). The endoscopic midface lift resulted in objective improvement in midfacial height. The median WIZDOM-MC decreased by 3.4 mm after the endoscopic midface lift (interquartile range [IQR], 2.3-4.4 mm; P < .001), thus shortening the elongated lower eyelid. At 5 to 15 years after surgery, there was a sustained decrease in median WIZDOM-MC of 2.1 mm (IQR, 0.8-3.1 mm; P < .001). Improvement in the infraorbital hollow was also sustained in patients at more than 5 years' follow-up (IQR, 0-1.0; P < .001). Improvements in upper cheek fullness and lower cheek fullness were maintained at 3 to 5 years and tended to be at baseline at more than 5 years. Global aesthetic improvement scores remained significantly improved at 5 to 15 years' follow-up.CONCLUSIONS AND RELEVANCE There is a significant, objective improvement in midfacial height after the endoscopic midface lift that persists for up to 15 years. Validated midfacial scales and global aesthetic scoring systems demonstrate sustained improvement in midface appearance over time. Surgery that minimally disrupts the zygomatic and orbicularis retaining ligaments can provide long-lasting aesthetic improvements.LEVEL OF EVIDENCE 4.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Investigation of the Longevity of the Endoscopic Midface Lift

Shtraks

Fundakowski

et al. 2019

JAMA Facial Plast Surg

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“…Thirty-two percent of patients underwent an average of 7 rounds of injectable fillers prior to surgical intervention, with an average expenditure of $7000 on nonsurgical procedures. Longevity of midface lift approaches has been reported, although most outcome measures are largely subjective, citing high patient satisfaction and quality of life scores at up to 5 years follow-up [85,86] . A recent study described a series of 143 patients undergoing an endoscopic transtemporal approach, reporting a significant, objective improvement in midfacial height that persisted for up to 15 years [87] .…”

Section: Fillers Vs Surgerymentioning

confidence: 99%

Using injectable fillers for midface rejuvenation

Go¹,

Frost²,

Friedman³

2021

PAR

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Treatment aimed at preventing and reversing the facial aging process has grown in popularity. The aging midface is defined by classic deepening of the nasolabial folds, formation of marionette lines around the mouth, and significant atrophy of deep facial fat. While surgical options have been investigated with satisfactory and longlasting results, nonsurgical alternatives such as soft tissue fillers are a safe and effective strategy for facial rejuvenation. This review focuses on a variety of injectable fillers available for the treatment of the aging midface, including hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, and polymethyl methacrylate. Mechanism of action, relevant anatomy, indications/contraindications, technique, and any evidence of efficacy and safety are described. The benefits of injectable fillers include reduced patient discomfort and shorter recovery times. Understanding the advantages and limitations of injectable fillers for midface augmentation can allow providers to counsel and treat patients seeking care appropriately.

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“…4 Even though moderate and severe cases require rhytidectomy for achieving adequate improvement, thus making midface lift and facelift still the gold standard for facial rejuvenation, there is an ongoing search for less invasive techniques, 5 as surgical invasiveness, potential complications and prolonged recovery time are always worthy of thoughtful consideration. 6 Fat, hyaluronic acid and other agents can all restore the lost malar volume but they are generally claimed to lack in structure, durability. 7 Alloplastic implants have been therefore advocated too for decades, but they are not suitable for every patient.…”

Section: Introductionmentioning

confidence: 99%

“…Even though moderate and severe cases require rhytidectomy for achieving adequate improvement, thus making midface lift and facelift still the gold standard for facial rejuvenation, there is an ongoing search for less invasive techniques, 5 as surgical invasiveness, potential complications and prolonged recovery time are always worthy of thoughtful consideration 6 …”

Section: Introductionmentioning

confidence: 99%

Thread lifting of the midface: A pilot study for quantitative evaluation

Diaspro¹,

Rossini

2021

Dermatologic Therapy

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Volume restoration remains the principal target to be addressed when approaching midface rejuvenation, and absorbable sutures can create a suspension system that addresses ptotic skin located primarily in the midface. The aim of this pilot study was to investigate the effectiveness in lifting sagging tissue and to determine the outcome of thread lifting procedures of the midface. Six participants were enrolled and treated with suspension threads to correct mild to moderate ptosis of the flabby tissues of the midface. Volumetric changes were calculated at t0 (pretreatment), t1(120 days) and t2 (365 days), with a mean follow-up time of 349.64 days, (range from 304 to 380.5 days). Results showed an overall average improvement of 5.59 mL at 120 days (t0-t1) after thread implantation, up to a mean value of 4.16 mL at the end of the 350 days follow up (t0-t2). A comparison was made in between and statistical analysis was performed with level of significance set at P < .05. The records shown suggest that it is possible to achieve volume restoration which lasts up to 12 months as all parameters improved significantly (P < .05) at t1 and at t2 with respect to t0. Facial tissues suspension by means of threads is therefore safe and effective, as it is possible to achieve tissue repositioning which lasts up to 12 months for the correction of mild to moderate ptosis of the midface.

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Midface-lift patient satisfaction: A 5-year follow-up study

Cited by 5 publications

References 19 publications

Investigation of the Longevity of the Endoscopic Midface Lift

Investigation of the Longevity of the Endoscopic Midface Lift

Using injectable fillers for midface rejuvenation

Thread lifting of the midface: A pilot study for quantitative evaluation

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