Malar fat pad suspension through intraoral approach: a personal technique

Background

For decades, facelifting has been the gold standard for facial rejuvenation. However, there is a current tendency towards new and less complex procedures. The reposition of the malar fat pad plays a central role to restore a convex mid-face contour, and until now, it has been achieved mainly through large incisions or endoscopic techniques.

Methods

Authors present a minimum scar procedure using a 20-cm needle: a 45-min operation that lifts the ptotic malar fat to restore a youthful looking facialvolume. Nineteen consecutive patients were addressed using this technique with consistent satisfactory results between the years 2007 and 2012.

Results

Patients were mostly women (16), between 24 and 70 years of age. Six patients had this procedure as a single surgery, the rest in combination with other aesthetic procedures. All of them were satisfied with results at one year after the procedure operation.

Conclusions

The authors conclude that this is a reliable procedure that obtains the desired results in mid-face rejuvenation by restoring a youthful contour, avoiding large visible incisions.

Level of evidence: Level IV, therapeutic study