Abstract
BACKGROUND: This investigation assessed patient satisfaction with a temporal incision technique using a super-high superficial musculoaponeurotic system (SMAS) flap for midface lifting in a Chinese patient cohort. METHODS: From July 2019 to July 2023, 95 patients underwent midface lifts via a temporal incision approach at our institution. The extent of SMAS flap dissection spanned 2 cm above the outer canthus, to the lower margin of the zygomatic arch inferiorly, and medially to the zygomaticus major muscle. The technique involved anchoring the elevated SMAS flap to the deep temporal fascia to elevate the malar fat pads, correct sagging tissues, and ameliorate the appearance of nasolabial folds. RESULTS: Among the 95 patients, 61 completed a follow-up ranging from 6 months to 2 years postsurgery, with a majority reporting satisfaction with the aesthetic results of their midface lift. No significant complications, including permanent facial nerve injury, were reported. CONCLUSIONS: The temporal incision super-high SMAS face lift technique demonstrated high patient satisfaction and clinical effectiveness in improving the appearance of nasolabial fold and midface aesthetics. However, the success of this technique hinges on a comprehensive understanding of facial anatomy due to the confined operative field, highlighting its technical demands and the need for surgical expertise.