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Review
. 2015 Nov;136(5 Suppl):219S-234S.
doi: 10.1097/PRS.0000000000001837.

Midface: Clinical Anatomy and Regional Approaches with Injectable Fillers

Sebastian Cotofana  1 , Thilo L Schenck, Patrick Trevidic, Jonathan Sykes, Guy G Massry, Steven Liew, Miles Graivier, Steve Dayan, Mauricio de Maio, Rebecca Fitzgerald, J Todd Andrews, B Kent Remington
Affiliations
Review

Midface: Clinical Anatomy and Regional Approaches with Injectable Fillers

Sebastian Cotofana et al. Plast Reconstr Surg. 2015 Nov.

Abstract

The clinical approach towards the midface is one of the most important interventions for practitioners when treating age-related changes of the face. Currently a plethora of procedures are used and presented. However, few of these approaches have been validated or passed review board assigned evaluations. Therefore, it is the aim of this work to establish a guideline manual for practitioners for a safe and effective mid-face treatment based on the most current concepts of facial anatomy. The latter is based on the 5-layered structural arrangement and its understanding is the key towards the favoured outcome and for minimizing complications.

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References

    1. Gierloff M, Stöhring C, Buder T, et al. Aging changes of the midfacial fat compartments: a computed tomographic study. Plast Reconstr Surg. 2012;129:263–273
    1. Mitz V, Peyronie M. The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg. 1976;58:80–88
    1. O’Brien JX, Ashton MW, Rozen WM, et al. New perspectives on the surgical anatomy and nomenclature of the temporal region: literature review and dissection study. Plast Reconstr Surg. 2013;131:510–522
    1. Saban Y, Andretto Amodeo C, Hammou JC, et al. An anatomical study of the nasal superficial musculoaponeurotic system: surgical applications in rhinoplasty. Arch Facial Plast Surg. 2008;10:109–115
    1. Schaverien MV, Pessa JE, Saint-Cyr M, et al. The arterial and venous anatomies of the lateral face lift flap and the SMAS. Plast Reconstr Surg. 2009;123:1581–1587

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