Is the Result Long Lasting

The result has proven to be long lasting for a minimum of 7 years and usually for more than 10 years as compared with the preoperative appearance (Figs. 41.15-41.17).

Sub Malar Hollow
  1. 41.15. Seven years after vertical rhytidectomy of the periocular frame of the eyelids and midface, the oblique view shows improvement of the eyelids and of the oblique facial contour achieved by elevation of the soft tissues filling the submalar hollow contour and malar volume without the need of malar implants. The deep naso-palpe-bro-malar sulcus is still substantially improved
  2. 41.15. Seven years after vertical rhytidectomy of the periocular frame of the eyelids and midface, the oblique view shows improvement of the eyelids and of the oblique facial contour achieved by elevation of the soft tissues filling the submalar hollow contour and malar volume without the need of malar implants. The deep naso-palpe-bro-malar sulcus is still substantially improved
Malar Implants
  1. 41.16. Preoperative oblique view and result of a vertical rhytidectomy of the periocular frame of the eyelids, blepharoplasty and midface as well as neck lift and nasal tip correction. Result 9 years postoperatively. Notice the improvement of the midface fullness of youth. The patient had lip enlargement elsewhere. The improved oblique malar profile was only due to the displacement of the submalar fat and not to a subperiostal malar implant
  2. 41.16. Preoperative oblique view and result of a vertical rhytidectomy of the periocular frame of the eyelids, blepharoplasty and midface as well as neck lift and nasal tip correction. Result 9 years postoperatively. Notice the improvement of the midface fullness of youth. The patient had lip enlargement elsewhere. The improved oblique malar profile was only due to the displacement of the submalar fat and not to a subperiostal malar implant
Malar Implant
Fig. 41.17. Eleven years after vertical rhytidectomy of the periocular region and midface, with blepharoplasty, necklift, tip rhinoplasty and chin reduction. Note the improvement of the deep naso-labial folds and long-lasting result

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