Enhanced Midface Lift: A Subciliary Incision Approach in Conjunction With Minimal Access Cranial Suspension Lift.

[BACKGROUND] Minimal access cranial suspension (MACS) lift is a well-established face lift technique commonly included in the facial plastic surgeon's armamentarium. It has consistently demonstrated safety and efficacy. The midface may also be addressed using various adjunctive maneuvers in combination with the MACS lift. The aim of this study was to evaluate the use of supraperiosteal midface lift via a subciliary incision with a 2-looped MACS lift.

[METHODS] This retrospective case series included patients who underwent a MACS lift with 2 suspension purse-string loops, combined with upper and lower blepharoplasty and a supraperiosteal midface lift via a subciliary incision. Outcomes were evaluated by comparing the palpebromalar groove position before and after surgery. Patient satisfaction was measured at 6 weeks postoperatively using a 1-10 scale. Complications were documented during follow-up.

[RESULTS] The study enrolled 25 patients. The palpebromalar groove position improved from a mean of 54 mm preoperatively to 62 mm postoperatively (mean improvement = 8 mm). Mean patient satisfaction was 8.96 on a 1-10 scale.

[CONCLUSIONS] Combining a supraperiosteal midface lift via a subciliary incision with a MACS lift proved safe and effective, resulting in a low complication rate and high patient satisfaction.