Minimal Incisions Vertical Endoscopic Lifting (MIVEL) for the Management of Lateral Canthal and Lower Eyelid Malposition.

Abstract:

:The purpose of this article is to describe the necessary steps to correct both primary and postblepharoplasty lateral canthal and lower eyelid malpositions at the time of endoscopic face lifting. Endoscopic surgery is traditionally considered only for brow and forehead lifting. However, in our practice we have successfully expanded the indications of the minimal incision vertical endoscopic lifting technique from being primarily indicated for forehead/brow elevation to also treating both primary and secondary lower eyelid and lateral canthal malpositions. This has eliminated the need for direct lateral canthal manipulation in primary cases and any need for open canthoplasty and posterior spacers in secondary cases. In our series of 63 patients with a mean age of 54 years, overall subjective satisfaction was high in 92% of patients, and there were no long-term side effects or complications.

journal_name

Aesthet Surg J

authors

Bernardini FP,Skippen B,Gennai A,Zambelli A

doi

10.1093/asj/sjy244

subject

Has Abstract

pub_date

2019-04-08 00:00:00

pages

472-480

issue

5

eissn

1090-820X

issn

1527-330X

pii

5104933

journal_volume

39

pub_type

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