Gencer Mehmet, Kerem Metin, Sağlam Yunus, Tatar Burak Ergün
Mehmet Gencer Private Clinic, Plastic Surgery, Valikonağı street, Istanbul, Turkey.
Plastic Surgery Center, Istanbul, Turkey.
Aesthetic Plast Surg. 2024 Nov;48(22):4609-4618. doi: 10.1007/s00266-024-04222-8. Epub 2024 Jul 15.
The surge in the popularity of midface and temporal lifting procedures can be attributed to evolving social media trends and heightened patient expectations, particularly among younger individuals seeking "beautification" rather than traditional rejuvenation. Scarless techniques, such as transtemporal/transoral approaches, are increasingly preferred. This study aimed to combine the advantages of both superficial and deep dissection planes in midface and temporal lifting procedures.
This retrospective study included 184 patients who underwent surgery using a dual-plane midface and temporal lift technique. Preoperative and postoperative assessments, including P1/P2 ratio calculations, were performed to evaluate volumetric distribution in the midface.
The study cohort exhibited a significant improvement in the P1/P2 ratio postoperatively (p < 0.05), indicating successful volume redistribution. Complications, including hypoesthesia, bruising, and infection, were managed effectively. Minor asymmetries were observed, with revisions offered, but declined by the patient.
This technique offers hidden incisions and reduces the risk of scar-related complications, making it suitable for patients seeking facial enhancement. Addressing the tear trough area and the lateral canthus provides comprehensive facial rejuvenation. The dual-plane approach facilitates both skin mobilization and volume shift, yielding favorable aesthetic outcomes.
The dual-plane midface and temporal lift technique presented in this study offers a bi-vectoral approach to midfacial lifting, suitable for both beautification and rejuvenation goals. Despite the potential limitations, including infection risk, this method is an effective option for facial enhancement.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
中面部和颞部提升手术的 popularity 激增可归因于社交媒体趋势的演变和患者期望的提高，尤其是在寻求“美化”而非传统年轻化的年轻个体中。诸如经颞/经口入路等无痕技术越来越受到青睐。本研究旨在结合中面部和颞部提升手术中浅层面和深层面解剖的优势。
这项回顾性研究纳入了184例行双平面中面部和颞部提升技术手术的患者。进行术前和术后评估，包括P1/P2比率计算，以评估中面部的容积分布。
研究队列术后P1/P2比率有显著改善（p < 0.05），表明容积重新分布成功。包括感觉减退、瘀斑和感染在内的并发症得到有效处理。观察到轻微不对称，提供了修复方案，但患者拒绝了。
该技术提供隐藏切口并降低与瘢痕相关的并发症风险，适用于寻求面部改善的患者。处理泪沟区域和外眦可实现全面的面部年轻化。双平面方法便于皮肤移动和容积移位，产生良好的美学效果。
本研究中提出的双平面中面部和颞部提升技术为中面部提升提供了一种双矢量方法，适用于美化和年轻化目标。尽管存在包括感染风险在内的潜在局限性，但该方法是面部改善的有效选择。
证据水平II：本期刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
