Short-Incision Midface Lift

In this clinical video, Dr. Roberto Limongi describes a short-incision midface lift. This procedure employs a small incision for orbitomolar ligament release and direct suture of the superficial musculoaponeurotic system (SMAS)/orbicularis flap to the periosteum of the lateral orbital rim during lower blepharoplasty. He begins by creating a subciliary incision inferior to the lash line and then makes a small incision through the lateral aspect of the orbicularis muscle, sparing the periosteal portion. After releasing the preseptal orbicularis muscle, the orbicularis-retaining ligament is severed from suborbicularis and supraperiosteal planes to facilitate movement of the eyelid and cheek. Dr. Limongi then creates an orbicularis SMAS flap and sutures it to the lateral rim periosteal and/or temporalis fascia.

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