Supraperiosteal lifting of the upper two-thirds of the face

Abstract

This paper presents an alternative to subperiosteal lifting (mask-lift), consisting in making the dissection following the natural plane of the sub-SMAS in the upper and middle thirds of the face. It constitutes what we have called supraperiosteal lifting of the upper two-thirds of the face, or suspension of the fronto-temporo-periorbito-malar SMAS. In our experience, this technique offers certain advantages and has fewer complications than subperiosteal lifting, allowing natural and harmonious rejuvenation of the upper two-thirds of the face, leaving no sequelae other than the coronal scar which is concealed in the scalp. The article describes the surgical procedure and the results obtained, as well as its frequent association with other procedures such as blepharoplasty, modification of the orbital bone rim, malar augmentation, rhinoplasty, cervicofacial lifting etc.