Mid-face lift through dissection under the temporal periosteum

Objective To investigate a simple and effective surgical approach for mid-face lift through dissection under the temporal periosteum. Methods The operation was performed by dissecting between superficial and deep temporal fascia through a temporal incision. The plane of dissection was extended downward to the zygomatic arch, and inward to the lateral orbital margin. On 2 cm above the zygomatic arch, a 3 cm long incision was made paralleling zygomatic arch on the superficialis temporal fascia, and dissection was performed under the superficialis temporal fascia through the zygomatic arch into the subperiosteum. After subperiosteal dissection, the soft tissues of the mid-face were released, pushed upward, and then sutured and fixed to the surface of deep temporal fascia to achieve facial rejuvenation. Results This approach has been used in 21 cases since the year 2000. Postoperative results were natural and satisfactory and there were no complications. Conclusion This method has advantages including short operative time, deep dissection, no incision on the preauricula, quick recovery, and natural and long-lasting results. For achieving satisfactory results it is essential to choose appropriate cases.