Application of high-level SMAS combined with malar fat pad and orbicularis oculi muscle suspension in middle face rhytidectomy
XIONG Rui
YANG Da-ping
Abstract：Objective To introduce a relatively minimally invasive operative method of middle facial rhytidetomy and analyze the effect of high-level SMAS combined with malar fat pad and orbicularis oculi muscle suspension.Methods High-level SMAS combined with malar fat pad and orbicularis oculi muscle suspension was carried out in 121 patients.The incision was designed along the hair borderin the temporal region,and then stripped along with the superficial SMAS in the range above the zygomatic arch.Drooping malar fat pad,SMAS and orbicularis oculi muscle were suspended in the deep temporal fascia,and excess skin tissue was removed.In this way,thesagging facial tissue can maintain along-term lifting effect.Results One hundred and twenty-one patients were followed up from 6 weeks to 1 year.All of them achieved satisfactory clinical results.The recovery time was shortand no complications such as facial nerve injury,subcutaneous hematoma or infection occurred.The postoperative incision scar is not obvious.Conclusion Restoration of high SMAS,malar fat pad and orbicularis oculi muscle was the key in middle facial rejuvenation.Injury of the facial nerve branches was avoided through the safe dissection of the subcutaneous layer.This method was relatively simple,surgically,and produced a significant and lasting effect.
Keywords：Middle facial rhytidectomyMalar fat padHigh SMASOrbicularis oculi muscle
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 148-151 )