Journal of Aesthetic & Reconstructive Surgery

Treatment of the Aging Midface and Neck with a Mini Sub-SMAS Lift and Lower Blepharoplasty with Fat Repositioning and Orbitalis Oculi Muscle Suspension Under Local Anesthesia

Introduction: Many facial plastic surgeries for the aging face may now be performed in-office, under local anesthesia and oral sedation. This is a result of innovation in surgical technique and rejuvenation technology, and in response to patient preferences for faster recovery times and lower costs. This paper presents a novel combination of in office techniques to address the midface and neck, two critical areas in the treatment of aging face.

Methods: We present an approach to restore a youthful face with a mini sub-SMAS lift, lower blepharoplasty with fat repositioning, and orbitalis oculi muscle/arcus marginalis release and suspension, all performed under local anesthesia and oral sedation with minimal post-operative downtime. Results: Our patient treated with this technique recovered well and had a favorable cosmetic outcome with zero complications and minimal downtime.

Conclusion: The mini sub-SMAS lift combined with lower blepharoplasty including orbital fat repositioning and orbicularis oculi muscle/arcus marginalis release and suspension performed under local anesthesia and oral sedation is a novel approach for restoring a youthful appearance to the face and neck. The patient avoids the risks associated with general anesthesia and benefits from a more affordable and convenient option for an elective cosmetic surgery with minimal post-operative downtime.

Author(s):

Sonam Dodhia*, Rachel Weitzman and Oscar Trujillo

Abstract | Full-Text | PDF

Share this