Kul Zekeriya, Eryilmaz Erhan, Özer Emre
From Private Practice in Plastic Surgery, Istanbul, Turkey.
Plastic, Reconstructive and Aesthetic Surgery Department, Yeditepe University Hospital, Istanbul, Turkey.
Plast Reconstr Surg Glob Open. 2025 Jan 23;13(1):e6461. doi: 10.1097/GOX.0000000000006461. eCollection 2025 Jan.
Facial aging involves multifactorial changes affecting the bone, superficial musculoaponeurotic system, fat pads, and skin, primarily manifesting as the downward displacement of these structures. The transtemporal endoscopic deep plane face lift (TEDPF) suggests a vertical lifting method, targeting these issues without a preauricular incision.
A retrospective study was conducted on 140 patients (133 women and 7 men) 33-67 years of age who underwent TEDPF from February 2020 to March 2023. Of these, 42 patients also received a neck lift. The surgical technique involved endoscopic dissection and vertical lifting and fixation of the superficial musculoaponeurotic system layer using specific suture points. An objective photographic analysis was performed by measuring preoperative and postoperative lower eyelid lengths to assess aesthetic outcomes.
The follow-up period ranged from 18 to 36 months. Temporary frontal neuropraxia occurred in 5 patients, resolving within 3 weeks to 3 months. Revision surgery was required for 6 patients due to excess preauricular skin or temporal skin accumulation malar dimpling. Significant improvements were observed, especially in periorbital, nasolabial, and jowl areas, enhancing eye shape and reducing the need for lower blepharoplasty. Objective photographic analysis showed a significant reduction in lower eyelid length postoperatively, with a mean percentage reduction of 22.45% in eyelid length ( < 0.05).
TEDPF achieves effective vertical lifting for facial rejuvenation, minimizes scarring, and reduces surgery time. It provides notable aesthetic improvements with manageable complications, suitable for patients prone to keloids or seeking less invasive options.
面部老化涉及影响骨骼、表浅肌肉腱膜系统、脂肪垫和皮肤的多因素变化，主要表现为这些结构的向下移位。经颞部内镜深层平面面部提升术（TEDPF）提出了一种垂直提升方法，无需耳前切口即可解决这些问题。
对2020年2月至2023年3月接受TEDPF的140例年龄在33 - 67岁的患者（133例女性和7例男性）进行回顾性研究。其中，42例患者还接受了颈部提升术。手术技术包括内镜下分离以及使用特定缝合点对表浅肌肉腱膜系统层进行垂直提升和固定。通过测量术前和术后下眼睑长度进行客观的照片分析，以评估美学效果。
随访期为18至36个月。5例患者出现暂时性额神经失用，在3周内至3个月内恢复。6例患者因耳前皮肤过多或颞部皮肤堆积、颧部酒窝形成而需要进行修复手术。观察到显著改善，尤其是在眶周、鼻唇沟和颊部区域，改善了眼形并减少了下睑成形术的需求。客观的照片分析显示术后下眼睑长度显著缩短，眼睑长度平均减少22.45%（P < 0.05）。
TEDPF实现了有效的面部年轻化垂直提升，最大限度地减少了瘢痕形成，并缩短了手术时间。它在并发症可控的情况下提供了显著的美学改善，适用于易形成瘢痕疙瘩或寻求侵入性较小选择的患者。
