摘要

Objectives: This study was performed to evaluate the safety and efficacy of integrating midface thread lifting as adjuvant procedure combined with lower blepharoplasty. The advantages of this novel approach compared to the conventional method of combining lower blepharoplasty with midface lift surgery were discussed, and the outcomes of this technique in terms of addressing periorbital aging were examined. Introduction: Combining lower blepharoplasty with midface lift surgery provides a comprehensive approach to address periorbital aging due to soft tissue descent and deflation. Traditional facial aging surgeries pose risks and involve longer recovery times, so exploring new techniques with lower risks and shorter downtime is essential. This study integrated midface thread lifting with lower blepharoplasty, and its safety and efficacy were evaluated using two outcome measurement scales. Materials / method: Retrospective analysis from record of six consecutive patients (mean age 56.7 years) who underwent Lower blepharoplasty and midface thread lift. All six patients had orbicularis suspension and one had additional canthopexy. Two patients out of six underwent orbital fat repositioning, while orbital fat was simply removed from the remaining four patients. Focused on individuals with baggy lower eyelids and descent and deflated malar fat pads, outcome measures included the Allergan Infraorbital Hollows Scale and Allergan® midface volume deficit scale, assessed at baseline and three months. Results: All patients showed aesthetic improvements, with mean photo numeric scale scores improving by at least one grade. Although the combined procedure had a longer mean operation time than only lower blepharoplasty, there were no cases of ectropion, scleral show greater than 1 mm, dry eye, or vision loss, patient satisfaction was high. Conclusion: Midface thread lifting procedure plays a complementary role by optimizing environment for, lower blepharoplasty by lifting of the descent mid cheek, supporting OOM suspension, prevention of lower lid malposition by support and buttress. As conventional midface lift surgery combined with lower blepharoplasty can paradoxically cause lid malposition by scar contracture especially due to hematoma or traumatic dissection, this combined technique presents a promising, minimally invasive option for comprehensive lower lid-midface rejuvenation with natural-looking results and reduced downtime.