AESTHETIC GOALS AND OPTIONS IN MIDFACE REJUVENATION

  • CORRECTION OF VECTOR AND VOLUME BASED AGING OF THE MIDFACE


OPTIONS



  • TEMPORAL APPROACH WITH OR WITHOUT ENDOSCOPY
  • LATERAL / SMAS APPROACH
  • VERTICAL / TRANSPALPEBRAL SUB-SOOF APPROACH

SURGICAL STEPS

  • LOCAL ANESTHESIA WITH SEDATION OR GENERAL ANESTHESIA
  • DIRECT INFILTRATION OF LOWER LID 
  • INFRAORTIBAL NERVE BLOCK / LIDOCAINE AND BUPIVACAINE
  • LOWER LID INCISION BENEATH LASH LINE
  • SKIN / MUSCLE FLAP
  • SUBSOOF DISSECTION
  • VERTICAL CHEEK LIFT
  • LATERAL CANTHOPEXY
  • LID SUPPORT
  • CONSERVATIVE SKIN EXCISION 
  • TEMPORARY SUPPORT WITH STERISTRIPS

ANTICIPATED RESULT

  • SHORTENING OF THE LID/CHEEK JUNCTION
  • MALAR AUGMENTATION
  • SOFTENING OF THE NASOLABIAL FOLD
  • ELEVATION OF THE ANTERIOR JAWLINE

Videos of actual  PRINCESS LIFT  procedures

PRE AND POST OP VERTICAL CHEEKLIFT AND LIMITED INCISION NECKLIFT

VERTICAL CHEEKLIFT TO CORRECT SEVERE ECTROPION COMPLICATION / MEDICAL TOURISM

PRE AND POST OP GLIDING BROWLIFT, UPPER LID BLEPHAROPLATIES, VERTICAL CHEEKLIFT