Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: - Understand the modifications introduced in the extended deep plane facelift technique, including endoscopic-assisted canthal and midface dissection, release of lateral canthal retinacular attachments, and minimally invasive canthal resuspension to the superior orbital rim.
- Evaluate the outcomes and advantages of the extended deep plane facelift with endoscopic midface and canthal dissection/resuspension in comparison to traditional SMAS rhytidectomy techniques, with a focus on mitigating complications such as ectropion and lower eyelid malposition.

Introduction: SMAS rhytidectomy techniques encounter challenges in midface rejuvenation. Hamra's 1989 deep plane approach addressed this but yielded a "disharmonious facial appearance." Despite the composite facelift's attempt to restore balance, complications and prolonged recovery persisted. This presentation unveils modifications to the compositie technique, utilizing endoscopic midface and canthal dissection to optimize outcomes while mitigating post-operative challenges, bringing the technique closer to achieving harmonious and enduring facial rejuvenation.

Materials / method: To address the complication concerns of the composite rhytidectomy, the authors’ modifications to the technique include; 1) endoscopic assisted canthal and midface dissection via a temporal or upper blepharoplasty approach in a subobicularis/supraperiosteal plane, 2) release of the lateral canthal retinacular attachments to the lateral orbital rim, and 3) minimally invasive canthal resuspension to the superior orbital rim. These techniques are often performed in conjunction with an endoscopic browlift and transconjunctival lower blepharoplasty without orbiculotomy.

Results: This presentation illustrates results from a series of patients who have undergone the extended deep plane facelift with endoscopic assisted midface/canthal dissection and resuspension. To illustrate the technique, animations and live surgical videos will be utilized.

Conclusion: The extended deep plane facelift with endoscopic midface and canthal dissection/resuspension delivers the benefits of the composite technique whilst reducing risk of ectropion and lower eyelid malposition. As this technique does not require an orbiculotomy, there is less risk of lower eyelid complications through orbicularis denervation.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Blepharoplasty is suitable for lower eyelid rejuvenation purposes in the area of cosmetic surgery. As the scope of abrasions during the surgical approach through the conjunctiva is small, rejoining society can be expected soon after surgery. However, we should take excess skin into account because blepharoplasty does not involve skin incision. In order to improve wrinkles consisting of excess skin, we combine nanofat grafting with blepharoplasty.

Introduction: Nanofat grafting is different from conventional fat injection in that it breaks mature adipocyte actively in the creation process, increasing the ratio of fat-derived stem cells.
Face-Q® is a new standardized questionnaire that can be used as a tool for patient-oriented outcomes which can evaluate items independently.
We’ve incorporated Face-Q® as a trial to measure the satisfaction of patients of blepharoplasty combined approach.

Materials / method: Targets were patients of blepharoplasty combined approach at the facility during January to August 2019. Not included in the results of patients that is from the first 3 months post-operation, incomplete. Age (at time of operation), gender, and Face-Q® scores between 3 to 6 months post-operation were considered.

Results: We collected 40 such surveys. Face-Q® scores reveal a high satisfaction rate for blepharoplasty combined approach. The inclusion of surgical videos and pre and post-Vectra 3D® findings should be considered.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability