Clin Surg | Volume 1, Issue 1 | Research Article | Open Access

Midface Lift through Lower Lid Blepharoplasty Incision

Ruth M. Graf1*, Maria Cecilia Closs Ono1, Isis Scomação3, Ofer Arnon4, Daniele Tanuri Pace3 and Priscilla Balbinot3

1Department of Plastic and Reconstructive Surgery, Federal University, Brazil
2Department of Plastic Surgery, Pietà Medical Center, Brazil
3Department of Plastic and Reconstructive Surgery, Soroka University Medical Center, Israel

*Correspondance to: Ruth M. Graf 

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Background: Today's concept of facial rejuvenation emphasizes a harmonious natural look without the visible signs of surgery. Various techniques have achieved elevation of the midface in the pursuit of the anatomical repositioning of tissue congruent with youth. An open approach via the transcutaneous blepharoplasty incision allows for direct fixation of tissues along the periosteum of the inferior orbital rim, respecting the vertical vectors and reshaping the face by restoring volume to the midface.Methods: Between 2004 and 2011, 298 patients, (237 females and 61 males) underwent a midface lift through subcilliary incisions of lower eyelid blepharoplasty, either with or without simultaneous endobrow lift, upper lid blepharoplasty, and/or lipofilling. In order to assess patient satisfaction, a telephone questionnaire was administered to 80 of the 298 total patients. To develop a more objective assessment of the results, 42 patients’ photographs were randomly selected to measure and to quantify the improvement in the elevation of the midface.Results: The majority of the interviewed patients (89%) were satisfied with their physical appearance and happy (77%) with the results one year post-op. Sixteen patients (20%) referred transitory minor complications as edema, chemosis and alterations of eyelid shape. No patients had to undergo surgical revision related to these complaints. Analysis of the measurements showed a positive correlation between patient satisfaction and quantifiable improvement. There was a reduction of the distance from the pupil to the nasojugal fold postoperatively compared to preoperative values, with p< 0. 001.Conclusion: The open subciliary supraperiosteal midface lift is an effective, low morbidity technique yielding high patient satisfaction.


Midface lift; Lower lid blepharoplasty; Rejuvenation


Graf RM, Ono MCC, Scoma��o I, Arnon O, Pace DT, Balbinot P. Midface Lift through Lower Lid Blepharoplasty Incision. Clin Surg. 2016; 1: 1254.

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