title: Subperiosteal facelift: a 5-year experience.
abstract: In classic rhytidectomy, there is little improvement in the center portion of the face. Aesthetic correction of malar prominence ptosis, accentuated nasolabial line, and jawl line, in most of the cases, require different approaches, such as the subperiosteal facelift.
  
  
  OBJECTIVE
  to show the cases and to evaluate the results and complications of subperiosteal facelift in the our service.
  
  
  METHODS
  From January of 2001 to December of 2005, 25 patients, ranging from 44 to 60 years, 24 females, were submitted to subperiosteal facelift. Results and complications were retrospectively appraised.
  
  
  RESULTS
  Of these, 20 presented satisfactory results, 4 presented aesthetic deficits noticed both by the patients and by the surgeon, and 1 presented aesthetic deficit needing revision surgery. All the patients presented improvement of nasolabial line, malar prominence and better definition of the jawl line. Revision surgery was necessary in one patient that referred little improvement. Four patients presented skin retraction in malar area due to the suspension sutures. A patient presented transitory paralysis of the front branch of the facial nerve.
  
  
  CONCLUSIONS
  Subperiosteal facelift with temporal access has shown satisfactory results in the great majority of the cases.
authors.affiliation: Otorhinolaryngology Department, Medical School, Faculdade de Medicina, Universidade Federal de Uberlândia, Minas Gerais, Brazil. lucaspatrocinio@triang.com.br
authors.forename: Lucas Gomes
authors.initials: LG
authors.lastname: Patrocínio
authors.forename: José Antônio
authors.initials: JA
authors.lastname: Patrocínio
authors.forename: Hugo Gonçalves
authors.initials: HG
authors.lastname: Couto
authors.forename: Hélio
authors.initials: H
authors.lastname: Muniz de Souza
authors.forename: Paulo Márcio Coelho
authors.initials: PM
authors.lastname: Carvalho
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015361:Rhytidoplasty / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome