Clinical Application of Short Temporal Incision Ultra-High SMAS Flap in Midface Lift
Objective This investigation assessed patient satisfaction with a temporal incision technique employing a super-elevated superficial musculoaponeurotic system(SMAS)flap for midface lifting in a Chinese patient cohort.Methods From July 2019 to July 2023,81 patients underwent midface lifting with a short temporal incision in Jining Xingyang Cosmetic Surgery Hospital.The extent of SMAS flap dissection spanned from the tail of the eyebrow superiorly,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 81 patients,55 completed a follow-up ranging from 6 months to 2 years post-surgery,with a majority reporting satisfaction with the aesthetic results of their midface lift.No significant complications,including permanent facial nerve injury,were reported.Conclusions Temporal incision facelifts are increasingly preferred by patients for their minimally invasive nature and shorter recovery time.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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