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Haffner. Plast Aesthet Res 2016;3:339-46 Plastic and
DOI: 10.20517/2347-9264.2016.63
Aesthetic Research

www.parjournal.net
Original Article Open Access

The temporal endoscopic midface lift -

centrofacial rejuvenation without facial scars

Thomas Haffner
Heumarkt Clinic Cologne, 50667 Koeln, Germany.

Correspondence to: Dr. Thomas Haffner, Heumarkt Clinic Cologne, Heumarkt 43, 50667 Koeln, Germany. E-mail: praxishaffner@gmail.com

How to cite this article: Haffner T. The temporal endoscopic midface lift - centrofacial rejuvenation without facial scars. Plast Aesthet Res
2016;3:339-46.
ABSTRACT
Article history: Aim: The author describes a new endoscopic midface lifting technique using solely temporal
Received: 05-08-2016 access and evaluates its advantages and perspectives. Methods: This is a single-surgeon case
Accepted: 17-10-2016 study. Through a short temporal incision, dissection is performed along a single plane connecting
Published: 31-10-2016 the superficial surfaces of both the facial and temporal superficial musculoaponeurotic system
(SMAS) layers. Subsequent midface dissection divides the malar fat pad into the deeper and
Key words: superficial parts. A new concept of a combination high malar SMAS lift and internal skin flap
Facelift, anchorage that provides long-term stability is described. Results: The temporal endoscopic
midface, midface (TEM) lift technique resulted in good objective results with high patient satisfaction.
endoscopic facelift, The temporal access allowed proper vertical vector correction of the sagging centro-facial
temporal endoscopic midface lifting, structures. The resulting scar was inconspicuous and hidden in the hair bearing skin, and
facial scar, its length was measured between 5-6 cm. A conversion to the conventional long facial scar
centrofacial, approach was completely avoided. Conclusion: The TEM lift is a new and effective procedure
rejuvenation for facial rejuvenation, especially the midface and cheek. The results illustrate the importance
of internal anchorage of both the midface SMAS and skin flap. These are the keys to long-
lasting and pleasing results. The procedure is best suited for younger men and women with
little or no neck skin laxity.

[1]
INTRODUCTION by Botti and Ceravolo due to its effectiveness. The
midface lift has been performed using the trans-
The midface is of central importance in facial aging blepharoplasty, [1,2] trans-oral, trans-temporal [4-8]
[3]
as this is the first site where its signs manifest or brow-lift approach. The trans-blepharoplasty
[9]
themselves. These signs comprise volume loss, approach has all the associated disadvantages of
deflation, malar prominence flattening, baggy eyes lower lid surgery including a canthopexy requirement
and development of nasolabial and nasojugal folds and risks of asymmetry, scleral show, lagophtalmus
due to ptosis and laxity. The midface lift reverses the and ectropion development. With the trans-temporal
ptosis by reposition of the sagging tissues and has subperiosteal midface lift, dissection is extensive,
even been dubbed the the facelift of the 21st century technically demanding, has greater risks and a

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