I have malar edema/malar bags and mild midface aging. Most surgeons I've seen offer a subperiosteal mid-facelift. One surgeon has offered a preperiosteal mid-facelift along with tightening the obicularis oculi muscle and closing the anterior wall of the malar edema. I can't find any scientific studies that suggest a preperiosteal MFL for malar bags. Would this procedure be as effective as a subperiosteal MFL?
Answer: Facelift I’ve never been impressed with the midface lift. I would do a standard facelift and your lower lids. Lower lid surgery would remove the excess fat and the skin can be tightened as well.
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Answer: Facelift I’ve never been impressed with the midface lift. I would do a standard facelift and your lower lids. Lower lid surgery would remove the excess fat and the skin can be tightened as well.
Helpful 2 people found this helpful
Answer: Pre-periosteal mid-face lift Thank you for your question and photo
Helpful 1 person found this helpful
Answer: Pre-periosteal mid-face lift Thank you for your question and photo
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November 14, 2023
Answer: Festoons Festoons are a difficult problem to treat, explaining why there are multiple approaches to address them. I have seen success with an extended lower lid subiliary blepharoplasty and SOOF lift. This is a pre-periosteal approach. My rational: the periosteum is a very deep, thick, inelastic layer while festoons are a more superficial soft tissue finding between eyelid and cheek. This is a scenario where you choose the Surgeon and his/her results/experience/judgment over the specific approach.
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November 14, 2023
Answer: Festoons Festoons are a difficult problem to treat, explaining why there are multiple approaches to address them. I have seen success with an extended lower lid subiliary blepharoplasty and SOOF lift. This is a pre-periosteal approach. My rational: the periosteum is a very deep, thick, inelastic layer while festoons are a more superficial soft tissue finding between eyelid and cheek. This is a scenario where you choose the Surgeon and his/her results/experience/judgment over the specific approach.
Helpful 1 person found this helpful
October 30, 2023
Answer: Sub-periosteal or Pre-periosteal Face-lift Thank you for your query. The sub-periosteal face-lift and pre-peristeal mid face-Lift, lift the mid face structures in slightly different planes and have somewhat different results. In mild mid face laxity, pre-perosteal mid face lift with orbicularis tightening works well and has fewer complications. Where more pronounced lift is required a sub-periosteal mid facelift can give better results, when done well. The two factors that are important are how much laxity you have and the experience of the surgeon with the techniques. Please discuss the experience of your surgeons with both techniques and why they would choose one over the other. All the best!
Helpful 1 person found this helpful
October 30, 2023
Answer: Sub-periosteal or Pre-periosteal Face-lift Thank you for your query. The sub-periosteal face-lift and pre-peristeal mid face-Lift, lift the mid face structures in slightly different planes and have somewhat different results. In mild mid face laxity, pre-perosteal mid face lift with orbicularis tightening works well and has fewer complications. Where more pronounced lift is required a sub-periosteal mid facelift can give better results, when done well. The two factors that are important are how much laxity you have and the experience of the surgeon with the techniques. Please discuss the experience of your surgeons with both techniques and why they would choose one over the other. All the best!
Helpful 1 person found this helpful
November 1, 2023
Answer: Assessment and treatment options To make a quality assessment we need a complete set of proper facial pictures. I’m not convinced you have festoons. There may be some malar edema.
Helpful 1 person found this helpful
November 1, 2023
Answer: Assessment and treatment options To make a quality assessment we need a complete set of proper facial pictures. I’m not convinced you have festoons. There may be some malar edema.
Helpful 1 person found this helpful
