Minimally Invasive Midfacial Rejuvenation: Combining Thread-Lift and Lipotransfer
Stephen P. Smith, M.D. and Edwin F. Williams, III, M.D., FACS
It is easy to oppose what we do not know and simply rely on the proven results from the surgical techniques acquired in our training. In our industry, however, it is critical to know our customers. Often, we have been made skeptical of emerging techniques. This skepticism may be secondary to the perception of minimal or even absent results, but many practitioners who apply these technologies do not have formal surgical training. It is to our advantage as facial plastic and reconstructive surgeons to use our intimate knowledge of facial anatomy and physiology to assess these newer interventions. Only then may we have the opportunity to critically evaluate our results and determine their use.
Minimally invasive procedures that offer reduced recuperation time undoubtedly will continue to rise in aesthetic surgery. It is important to not immediately dismiss these newer market-driven technologies without a critical assessment in the hands of well-trained facial plastic surgeons. The combination of the thread-lift and lipotransfer is a minimally invasive technique, with a moderate learning curve and virtually no prolonged morbidity. Patients who have undergone this procedure for midface rejuvenation have been pleased with the early results in the senior authors’ practice. Vigorous management of patient expectations likely has contributed to these favorable outcomes. Despite patient satisfaction, surgeon satisfaction will only be realized as long-term results are better understood and patient selection is optimized.
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