The Sling Lift: An Ancillary Procedure for Malar Rejuvenation

Excerpt

Dr. Julio Wilson Fernandes has addressed the difficult issue of the midface in facial rejuvenation surgery with an original combination of two known techniques. He performs a minimal access cranial suspension (MACS) lift as described in the May 2002 issue of Plastic and Reconstructive Surgery, omits the second and third purse-string suture, and performs limited subperiosteal undermining of the maxillary region followed by a 2–0 Prolene suspension via percutaneous needle puncturing anchored to the periosteum of the lateral orbital rim, as described earlier by Badin, Casagrande, and Graf. Compared with a full subperiosteal midface lift, his limited subperiosteal undermining is faster and should produce less swelling and discomfort as well as fewer complications. …