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Das temporal-endoskopische Mittelgesichtslift

Gesichtslifting ohne Gesichtsnarben

Temporal endoscopic midface lift (TEM)

Face lifting without facial scars

  • Übersichten
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Journal für Ästhetische Chirurgie Aims and scope

Zusammenfassung

Hintergrund

Die ersten Zeichen eines Elastizitäts- und Volumenverlusts entstehen im Mittelgesicht. In der Gesichtschirurgie hat dieses deshalb zunehmend an Bedeutung gewonnen.

Fragestellung

Mit welchen Mitteln und Techniken lässt sich das Mittelgesichtslifting optimieren?

Methode

Das temporal-endoskopische Mittelgesichtslifting ist eine neue Methode, mit deren Hilfe sich das bewährte endoskopische Stirn- und Schläfenlifting auf das ganze Gesicht ausdehnen lässt. Dabei ist das temporale subkutane muskuloaponeurotische System (temporales SMAS) als „Leitschiene“ zu verstehen. Die Gesichtspartien werden über einen gemeinsamen endoskopisch-operativen Präparationsraum verbunden, sodass eine Zugwirkung bis hin zu Kiefer und Hals entstehen kann. Es werden spezielle Techniken zur temporalen Lappenbildung und -verankerung sowie des Liftings der malaren/submalaren Fettdepots angewendet. Ein unterstützendes Suspensionslift mit Fadenschlingen wird ergänzend eingesetzt.

Schlussfolgerungen

Mit der neuen Methode lassen sich durch einen kleineren temporalen Zugang, den kürzeren Präparationsvorgang und die operative Sicherheit in der nervenfreien Epi-SMAS-Ebene sichtbare Narben vermeiden, Risiken und Operationszeiten reduzieren und die Gesellschaftsfähigkeit der Patienten schnell zurückgewinnen. Das Gesicht wirkt jünger und sehr natürlich. Das endoskopische Verfahren ist ein anspruchsvoller, neuer Weg in der schnittvermeidenden atraumatischen Gesichtsverjüngung.

Abstract

Background

The first signs of elasticity and volume loss arise in the midface region which has, therefore, become increasingly more important in facial surgery.

Question

By which means and techniques can midface lifting be optimized?

Methods

Temporal endoscopic midface lifting is a new method by which the classical endoscopic forehead and temporal lobe lifting can be extended to the whole face. In this context the temporal subcutaneous musculoaponeurotic system (SMAS) should be seen as the “guiding rail”. The facial areas are linked using a joint endoscopic operative preparation space so that a pulley system effect is formed down to the jaws and neck. Special techniques are used for temporal flap formation and anchorage as well as lifting of the malar/submalar fat deposits. A supporting suspension lift with suture loops is additionally installed.

Conclusion

Due to the short preparative approach and the operative safety in the nerve-free Epi-SMAS layer, using these new methods visible scars and risks can be avoided, operation times can be reduced and the social competence of patients can be restored. The face appears younger and very natural. The procedure is a sophisticated new approach to incisionless, atraumatic facial rejuvenation

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Einhaltung ethischer Richtlinien

Interessenkonflikt. T. Haffner gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben. Im Falle von nicht mündigen Patienten liegt die Einwilligung eines Erziehungsberechtigten oder des gesetzlich bestellten Betreuers vor.

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    T. Haffner

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Dieser Beitrag enthält ein Video zum TEM-Lift. Dieses Supplemental finden Sie unter dx.doi.org/10.1007/s12631-013-0275-7.

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Haffner, T. Das temporal-endoskopische Mittelgesichtslift. J. f. Ästhet. Chirurgie 7, 98–105 (2014). https://doi.org/10.1007/s12631-013-0275-7

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