Tessier P
Ann Chir Plast Esthet. 1989;34(3):193-7.
The "facial mask" is composed of all of the tissues lying on top of the skeleton: periosteum, deep adipose tissue, superficial musculo-aponeurotic tissue and skin. The periosteum is the intermediate zone between the skeleton, responsible for the shape of the face, and the more superficial tissues which complete the shapes and, most importantly, represent the mobile part of the face and consequently the site of facial expression. The secret of an effective "mask-lift" depends on complete subperiosteal dissection of the malar bones, zygomatic arches and orbital margins. This dissection can be performed via a coronal approach, but it is easier to start the subperiosteal dissection via a short vestibular incision. Subperiosteal dissection via a coronal incision is not only useful to lift the facial mask; it is also useful for remodelling the orbital margins and to obtain bone grafts from the parietal area in order to reinforce the glabella, check bones and nasogenial folds.
“面部覆盖组织”由位于骨骼之上的所有组织构成：骨膜、深层脂肪组织、表浅肌肉腱膜系统和皮肤。骨膜是骨骼（决定面部形状）与更表浅组织（完善面部形状，且最重要的是代表面部的可动部分，即面部表情产生的部位）之间的中间区域。有效“面部提升术”的秘诀在于对颧骨、颧弓和眶缘进行完全的骨膜下剥离。这种剥离可通过冠状切口进行，但经短的前庭切口开始骨膜下剥离更容易。经冠状切口进行骨膜下剥离不仅有助于提升面部覆盖组织；还可用于重塑眶缘，并从顶区获取骨移植材料以加固眉间、鼻骨和鼻唇沟。
