title: Minimally traumatic midface lift approach for patients in their early 30s and 40s.
abstract: BACKGROUND
  To evaluate the effectiveness of the minimally traumatic midface lift approach in combination with the Wrinkle Severity Rating Scale (WSRS) criteria.
  
  
  METHODS
  From July 2007 to September 2009, 21 female patients underwent the minimal incision midface lift procedure. The procedure was mainly composed of a small arrow-like incision just superior to the top of the auricle, a fanlike subcutaneous dissection, and 3 suspension sutures. After 6 months, objective and subjective criteria were recorded, photos were taken for documentation and the WSRS scale system was used. Postoperative adverse effects were also recorded.
  
  
  RESULTS
  All 21 patients completed more than a 6-month postoperative follow-up, and all the patients gained complete recovery. In the doctor's evaluation for using the WSRS system, 3 patients (14.3%) felt fair, the remaining 18 patients (85.7%) felt good, and no patients (0%) had poor results 6 months after the operation. In patient self-evaluation, 5 patients (23.8%) felt fair, the remaining 16 (76.2%) felt good, and no patient (0%) had poor results after 6 months. No serious operative complications including facial nerve palsy and skin slough were found.
  
  
  CONCLUSIONS
  The minimally traumatic midface lift is a simple, reliable, and effective approach for the aging face of women in their 30s and 40s.
authors.affiliation: Department of Plastic Surgery, China Japan Friendship Hospital under the Chinese Health Ministry, 2 Yinghua Dong Road, Beijing, China.
authors.forename: Xiao-Gen
authors.initials: XG
authors.lastname: Hu
authors.forename: Hai-Huan
authors.initials: HH
authors.lastname: Ma
authors.forename: Xiao-Zu
authors.initials: XZ
authors.lastname: Fu
authors.forename: Gao
authors.initials: G
authors.lastname: Zeng
authors.forename: Hui
authors.initials: H
authors.lastname: Lu
authors.forename: Peng
authors.initials: P
authors.lastname: Cui
authors.forename: Hui-Jie
authors.initials: HJ
authors.lastname: Qi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D015361:Rhytidoplasty / Q000009:adverse effects / Q000379:methods*