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Combined Temporal and Lower Eyelid Approach to Midface Lift - Catalog 344

Recorded On: 01/01/2003

This DVD demonstrates my personal approach to lifting mid-face and lower eyelid soft tissues while supporting them into the temporal area with permanent suturing techniques. This transcutaneous lower eyelid approach is used as well as a sub-labial incision in order to completely free the mid-facial tissues sub-periosteally. The upper anterior fibers of the massiter muscle are released as well as the periosteum along the inferior border of the maxilla. Elevation is continued up to just below the infraorbital rim. The lower eyelid skin muscle is developed, as well as the short SOOF elevation. A transtemporal approach on top of the temporalis fascia is used to approach the lateral orbital rim. The subperiosteal approach is then used to connect the tunnel to the maxillary elevation in open view of the infraorbital rim. A bone tunnel was made in the superior temporal line and permanent suture used to suspend the mid-facial periosteum and SOOF tissues to this bone tunnel. The excess redundant skin and muscle of the lower eyelid lateral malar is excised and supported. A significant improvement in the nasal jugal groove and double convexity of the aging lower eyelid mid-face is achieved by this technique. Lateral temporal brow elevation completes the rejuvenation of the mid-face, temporal and lateral brow area.

Stephen W. Perkins

MD

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Combined Temporal and Lower Eyelid Approach to Midface Lift, Stephen W. Perkins, MD
Recorded 01/01/2003
Recorded 01/01/2003 This DVD demonstrates my personal approach to lifting mid-face and lower eyelid soft tissues while supporting them into the temporal area with permanent suturing techniques. This transcutaneous lower eyelid approach is used as well as a sub-labial incision in order to completely free the mid-facial tissues sub-periosteally. The upper anterior fibers of the massiter muscle are released as well as the periosteum along the inferior border of the maxilla. Elevation is continued up to just below the infraorbital rim. The lower eyelid skin muscle is developed, as well as the short SOOF elevation. A transtemporal approach on top of the temporalis fascia is used to approach the lateral orbital rim. The subperiosteal approach is then used to connect the tunnel to the maxillary elevation in open view of the infraorbital rim. A bone tunnel was made in the superior temporal line and permanent suture used to suspend the mid-facial periosteum and SOOF tissues to this bone tunnel. The excess redundant skin and muscle of the lower eyelid lateral malar is excised and supported. A significant improvement in the nasal jugal groove and double convexity of the aging lower eyelid mid-face is achieved by this technique. Lateral temporal brow elevation completes the rejuvenation of the mid-face, temporal and lateral brow area.
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