Page 345 - Read Online
P. 345

Haffner                                                                                                                                                                               The temporal endoscopic midface lift

            A                       B                         A                       B



















           Figure 10: Before (A) and after (B) temporal endoscopic midface.   Figure 11: Before (A) and after (B) temporal endoscopic midface.
           Note also the juvenile V-form of the jaws 6 months after the scar   A 48-year-old patient, note the improved contours of the malar
           free face lifting. Note the psychological status of the patient and her   and peri orbicular regions and of the jawline resulting much more
           evident feeling of happiness                       pleasing face
            A                       B                         A                       B




















           Figure 12: Before (A) and after (B) temporal endoscopic midface.   Figure 13: Before (A) and 6 months after (B) the procedure by a
           Visible rejuvenation and improving also of the psychological state of   55-year-old patient. Note the improving of the suborbicular region by
           the 48-year-old patient                            temporal endoscopic midface. No blepharoplasty was performed

            A                       B                         hairline. It is therefore barely visible and can be well
                                                              covered by the adjacent hair. Broad scarring with
                                                              scar alopecia can be avoided with proper dissection
                                                              and suture techniques. Due to the lack of facial
                                                              scars, TEM is the method of choice for scarless facial
                                                              rejuvenation. TEM is appropriate when no large jowls
                                                              or skin excesses in the neck are present and is suited
                                                              especially for young women and men who frequently
                                                              lack such excesses [Figures 13-15].

                                                              DISCUSSION
                                                              Aging process is a combination of ptosis, deflation
                                                              and wrinkling. A facelift corrects the ptosis of the
                                                              lateral facial parts and of the jaws and neck, but not
           Figure 14: Before (A) and 3 months after (B) temporal endoscopic
           midface (TEM) lift by a 30-year-old patient. Note the tired look before   really works against centrofacial aging. As it described
           and the pleasant refreshing effect after TEM lift with improved brow   before the mid facial structures are not sufficient
           position, with correction of the suborbicular hollowing. Improving
           of the nasolabial folds and the centrofacial depletion by correct   repositioned by a conventional facelift - they are too
           reposition of the mid-facial structures            far from the large lateral acces and the scar means a

            344                                                                                       Plastic and Aesthetic Research ¦ Volume 3 ¦ October 31, 2016
   340   341   342   343   344   345   346   347   348   349   350