Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients

Background:. This investigation assessed patient satisfaction with a temporal incision technique using a super-high superficial musculoaponeurotic system (SMAS) flap for midface lifting in a Chinese patient cohort. Methods:. From July 2019 to July 2023, 95 patients underwent midface lifts via a temp...

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Main Authors: Jingang Wang, MD, Lining Xie, MD, PhD, Ning Zhang, MD, Lijuan Hu, MD, Siqing Zhang, MD, Jingchun Liu, MD, Xihua Wang, MD, Xiaofeng Yan, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2024-12-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006363
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author Jingang Wang, MD
Lining Xie, MD, PhD
Ning Zhang, MD
Lijuan Hu, MD
Siqing Zhang, MD
Jingchun Liu, MD
Xihua Wang, MD
Xiaofeng Yan, MD, PhD
author_facet Jingang Wang, MD
Lining Xie, MD, PhD
Ning Zhang, MD
Lijuan Hu, MD
Siqing Zhang, MD
Jingchun Liu, MD
Xihua Wang, MD
Xiaofeng Yan, MD, PhD
author_sort Jingang Wang, MD
collection DOAJ
description Background:. This investigation assessed patient satisfaction with a temporal incision technique using a super-high superficial musculoaponeurotic system (SMAS) flap for midface lifting in a Chinese patient cohort. Methods:. From July 2019 to July 2023, 95 patients underwent midface lifts via a temporal incision approach at our institution. The extent of SMAS flap dissection spanned 2 cm above the outer canthus, to the lower margin of the zygomatic arch inferiorly, and medially to the zygomaticus major muscle. The technique involved anchoring the elevated SMAS flap to the deep temporal fascia to elevate the malar fat pads, correct sagging tissues, and ameliorate the appearance of nasolabial folds. Results:. Among the 95 patients, 61 completed a follow-up ranging from 6 months to 2 years postsurgery, with a majority reporting satisfaction with the aesthetic results of their midface lift. No significant complications, including permanent facial nerve injury, were reported. Conclusions:. The temporal incision super-high SMAS face lift technique demonstrated high patient satisfaction and clinical effectiveness in improving the appearance of nasolabial fold and midface aesthetics. However, the success of this technique hinges on a comprehensive understanding of facial anatomy due to the confined operative field, highlighting its technical demands and the need for surgical expertise.
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spelling doaj-art-66a5a76d7bd549e8b743d3a220e919212025-08-20T02:00:02ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-12-011212e636310.1097/GOX.0000000000006363202412000-00014Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese PatientsJingang Wang, MD0Lining Xie, MD, PhD1Ning Zhang, MD2Lijuan Hu, MD3Siqing Zhang, MD4Jingchun Liu, MD5Xihua Wang, MD6Xiaofeng Yan, MD, PhD7From the * Department of Plastic Surgery, Jining Xingyang Cosmetic Surgery Hospital, Jining City, Shandong Province, China† Department of Plastic Surgery, Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, ChinaFrom the * Department of Plastic Surgery, Jining Xingyang Cosmetic Surgery Hospital, Jining City, Shandong Province, ChinaFrom the * Department of Plastic Surgery, Jining Xingyang Cosmetic Surgery Hospital, Jining City, Shandong Province, China† Department of Plastic Surgery, Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China‡ Longgang Huamei Xihua Cosmetic Surgery Clinic, Huludao City, Liaoning Province, China‡ Longgang Huamei Xihua Cosmetic Surgery Clinic, Huludao City, Liaoning Province, China§ Department of Psychiatry, University of California, Davis Medical Center, Sacramento, CA.Background:. This investigation assessed patient satisfaction with a temporal incision technique using a super-high superficial musculoaponeurotic system (SMAS) flap for midface lifting in a Chinese patient cohort. Methods:. From July 2019 to July 2023, 95 patients underwent midface lifts via a temporal incision approach at our institution. The extent of SMAS flap dissection spanned 2 cm above the outer canthus, to the lower margin of the zygomatic arch inferiorly, and medially to the zygomaticus major muscle. The technique involved anchoring the elevated SMAS flap to the deep temporal fascia to elevate the malar fat pads, correct sagging tissues, and ameliorate the appearance of nasolabial folds. Results:. Among the 95 patients, 61 completed a follow-up ranging from 6 months to 2 years postsurgery, with a majority reporting satisfaction with the aesthetic results of their midface lift. No significant complications, including permanent facial nerve injury, were reported. Conclusions:. The temporal incision super-high SMAS face lift technique demonstrated high patient satisfaction and clinical effectiveness in improving the appearance of nasolabial fold and midface aesthetics. However, the success of this technique hinges on a comprehensive understanding of facial anatomy due to the confined operative field, highlighting its technical demands and the need for surgical expertise.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006363
spellingShingle Jingang Wang, MD
Lining Xie, MD, PhD
Ning Zhang, MD
Lijuan Hu, MD
Siqing Zhang, MD
Jingchun Liu, MD
Xihua Wang, MD
Xiaofeng Yan, MD, PhD
Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients
Plastic and Reconstructive Surgery, Global Open
title Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients
title_full Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients
title_fullStr Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients
title_full_unstemmed Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients
title_short Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients
title_sort temporal incision super high superficial musculoaponeurotic system face lift for chinese patients
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006363
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