LCL: (Locked Cheek Lift) Three-Dimensional Cheek Lift and Inferior Palpebral Rejuvenation

• Published in: Aesthetic plastic surgery 2018-06, Vol.42 (3), p.825-838
• Main Authors: Divaris, Marc, Sabri, Ebaa, Cancemi, Gianfranco, Daury, Richard
• Format: Article
• Language: English
• Subjects: Adipose Tissue - transplantation; Adult; Aged; Blepharoplasty - methods; Cheek - surgery; Cohort Studies; Esthetics; Female; Follow-Up Studies; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Original Article; Otorhinolaryngology; Patient Satisfaction; Plastic Surgery; Recovery of Function; Rejuvenation - physiology; Retrospective Studies; Rhytidoplasty - methods; Risk Assessment; Skin Aging - physiology; Time Factors; Treatment Outcome; Wound Healing - physiology
• ISSN: 0364-216X; 1432-5241
• DOI: 10.1007/s00266-018-1086-1

Background Many recent advances in face lift techniques have been made to reverse the aging process of the mid-face. In this study, we present a new technique by which mid-face rejuvenation can be achieved in double-angle vectors and allows adaption to the underlying bony structure. The locked cheek lift (LCL) allows effective, simple and rapid lifting of the malar fat pad in two planes. Correction of the curvature of the face and reduction of the height of lid cheek junction distance can be achieved without an incision at the lower eyelid. Methods In total, 115 patients (77 females and 38 males) have been operated on using the LCL technique by a single surgeon; patient ages ranged between 37 and 71 years old (average = 51). Follow-up was performed by the same team for a year postoperatively. The facial expression and lid cheek distance have been evaluated during this period. Results After a year from the operation, the lid cheek distance correction was maintained in 95.7% of the cases, with stable position of the ascended malar fat pad. Postoperative edema and ecchymosis were limited. Conclusion LCL is an effective, simple and rapid surgical technique, which is capable of correcting the cheek gravitational migration, reducing the lid cheek distance (LCD), maintaining the ascended stable malar fat pad for a long time with a short recovery period and minimal risk of complications. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .