"Temporal MORE (Modified Orbicularis REpositioning): going beyond the limits of temporal lifting".

Autor:	Pascali M; Plastic Surgery Academy, Rome, Italy., Savani L; Department of Plastic, Reconstructive and Cosmetic Surgery, Campus Bio-Medico University Hospital, Rome, Italy., Gratteri M; Department of Plastic, Reconstructive and Cosmetic Surgery, Campus Bio-Medico University Hospital, Rome, Italy., Rega U; Department of Plastic and Reconstructive Surgery, Università degli studi di Napoli Federico II, Naples, Italy., Marchese G; Department of Oncological, Reconstructive Maxillo-Facial Surgery, 'Sapienza University of Rome', Rome, Italy., Persichetti P; Department of Plastic, Reconstructive and Cosmetic Surgery, Campus Bio-Medico University Hospital, Rome, Italy.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Sep 17. Date of Electronic Publication: 2024 Sep 17.
DOI:	10.1097/PRS.0000000000011752
Abstrakt:	Background: Periorbital rejuvenation is often challenging and requires comprehensive evaluation of its various components to obtain satisfying results. Considering the crucial role of the orbicularis muscle in the periorbital aging process, the first author recently described his personal technique for temporal lifting through a subcutaneous approach in conjunction with an orbicularis muscle flap. In the current article, the authors present a modified and extended temporal lift approach, which allows for remarkable improvement not only in the temporal and brow region, but in the whole periorbital area up to the malar region, therefore named "Temporal MORE" (Modified Orbicularis REpositioning). Methods: 212 consecutive patients underwent Temporal MORE by the same surgeon between May 2021 and September 2022. Each patient filled a FACE-Q© questionnaire preoperatively and 12 months postoperatively. 5 independent surgeons were asked to score the results evaluating patients' preoperative and postoperative pictures. Results: No major complications were recorded. The most satisfying aspect of this technique was dramatic periorbital rejuvenation noticeable in all patients.FACE-Q pre-operative score was 34.29±5.872, while the post-operative was 80.11±6.796 (p<0.05); delta (post-pre) mean value was 45.82±8.925. Surgeons' questionnaire mean value was 41.92±6.010. Statistical analysis showed a strong correlation between surgeons' and patients' satisfaction ("r" value 0.7488). Conclusions: Temporal MORE proved to achieve a comprehensive rejuvenation of the periorbital area in a straightforward and reproducible way, with a fast recovery and a low complication rate. In this cohort, patient satisfaction with the result was remarkable and comparable to the judgment of the surgeons interviewed. (Copyright © 2024 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu