Nural Hadi
Aesthet Surg J Open Forum. 2021 Dec 15;4(1):ojab038. doi: 10.1093/asjof/ojab038. eCollection 2022 Jan.
Despite traditional facelift and transtemporal endoscopic facelift techniques are used in treatment of mid face ptosis, they do not have a big impact on the midface area. Lower blepharoplasty techniques are effective to provide rejuvenation on nasojugal area, midface ptosis and tear trough deformity. Additionally, it is also possible to correct the lower face area and jowls with lower blepharoplasty.
To define effect of vertical space lift in tear-trough, midcheek groove, midface, and lower face.
A retrospective study was carried out on 23 patients who had surgeries between January 2018 and January 2021. The buccal fat is suspended and anchored to the medial infra orbital rim with a superomedial vector and the midface flap anchored to the lower and lateral orbital rim with a superomedial and superolateral vector. The average follow-up period was 12 months.
A high degree of satisfaction has been achieved in the feedback of questionnaires. Results showed that there is a significant improvement in nasojugal deformity, malar ptosis, mid-cheek grove, and jowls.
While transcutaneous lower blepharoplasty provides an opportunity for rejuvenation of the lower eyelid and midface area, vertical space lift allows the surgeon to work on the midface, lower face, and jowls area except the neck. Choosing appropriate technique according to area that needs to be corrected increases success rate.
尽管传统的面部提升术和经颞部内镜面部提升术用于治疗中面部下垂，但它们对中面部区域的影响不大。下睑成形术技术对于改善鼻颧区、中面部下垂和泪沟畸形有效。此外，下睑成形术还可以矫正下面部区域和下颌赘肉。
确定垂直空间提升术对泪沟、中颊沟、中面部和下面部的效果。
对2018年1月至2021年1月期间接受手术的23例患者进行回顾性研究。将颊脂垫向上内侧方向悬吊并固定于眶内侧缘，将中面部皮瓣向上内侧和上外侧方向固定于眶下缘和眶外侧缘。平均随访期为12个月。
问卷调查反馈显示患者满意度较高。结果表明，鼻颧畸形、颧部下垂、中颊沟和下颌赘肉有显著改善。
经皮肤下睑成形术为下眼睑和中面部区域的年轻化提供了机会，而垂直空间提升术使外科医生能够处理除颈部以外的中面部、下面部和下颌赘肉区域。根据需要矫正的区域选择合适的技术可提高成功率。
