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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