Guided Suturing Technique for Midface Lift Through Minimal Temporal Incision

Abstract Background The midface has been a difficult zone to manage in rejuvenating surgeries. The major challenge for midface lift remains on how to achieve extensive dissection and elevate the composite tissues en bloc, while limiting the incisions to a minimum. Methods In a total of 22 composite midface lift cases, a titanium cable wire was utilized. The wire was made it into an elastic loop that guided the 3 SMAS-suspending sutures out of the subcutaneous plane through a short incision at the temporal region, and then fixed to the deep temporal fascia. The surgical complications, as well as the patients' subjective assessment were evaluated. Results Surgeries were successful commenced in all cases. Midface sagging, eyebags, nasolabial folds exhibited considerable improvements. No major complications like nerve injury, alopecia were noted. The patients were followed up for an average of 16.9 months. In general, 90% of the patients were satisfied with their outcome. Conclusion This guided suspension suturing technique effectuates a more convenient and efficient way to conduct multi-points anchorage of the composite malar flap. When properly executed, this technique allows the anchorage sutures to bite into the deeper layer of the SMAS that ensures firm suspensions in midface rejuvenation surgery,