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Surgeons tout efficacy of midface lift technique

Chicago — The transconjunctival deep-plane midface lift (TDML) is safe, effective and may be preferable to the traditional midface lift, according a retrospective review conducted by three Chicago surgeons.

With the objective of presenting their nine-year experience with TDML and discussing its benefits and limitations compared to traditional procedures, surgeons with Chicago Medical School, Northwestern University Feinberg School of Medicine and University of Chicago Pritzker School of Medicine conducted a retrospective review of 124 patients who received TDML by Julius Few, M.D., between 2000 and 2009, according to the study.

The researchers reviewed patient demographics, operative technique, concomitant procedures and postoperative results. The patients included 97 women and 27 men with a minimum of 13 months of postoperative follow-up.

The mean operating time for upper blepharoplasty with TDML was less than 150 minutes. No significant complications occurred. One patient required re-excision of redundant lower eyelid skin, and another patient underwent secondary excision via traditional midface lift.

“The TDML procedure is safe and effective,” the authors wrote. “The technique is readily applicable and more ‘forgiving’ than the traditional midface lift. With proper patient selection, the limited soft-tissue dissection reduces surgical morbidity. Patients with excessive skin redundancy or festoons should be treated with more traditional techniques.”

The findings were published in the August issue of Aesthetic Surgery Journal.

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