{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:44:37Z","timestamp":1789562677456,"version":"build-2803163510"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2007,1,1]],"date-time":"2007-01-01T00:00:00Z","timestamp":1167609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Facial Plast Surg"],"published-print":{"date-parts":[[2007,1,1]]},"abstract":"<jats:p>We review herein our experience with subperiosteal midface-lifting under direct vision with a simple fixation technique. The technical aspects of the procedure are described in detail. A total of 121 patients underwent midface-lifting and meloplication with the 82\/18 L-lactide\/glycolide device (Coapt Endotine Midface ST 4.5; Coapt Technologies, Palo Alto, Calif) by both the senior (G.S.K.) and junior (R.N.H.) authors. The senior author's experience included 110 patients over a 26-month period. Thirty-two of these cases were isolated procedures. The other 78 were performed in conjunction with various procedures, most commonly rhytidectomy. There were no revisions during this period. Two cases of \u201cpuckering\u201d were noted. Both were immediately corrected, one with fat injection and one with poly-L-lactic acid injection (Sculptra; Dermik Aesthetics, distributed by Besse Medical Supply, West Chester, Ohio). The junior author's experience included 11 cases over an 8-month period. Two cases of asymmetry were noted. One was corrected with fat injection, and the other required revision. Subperiosteal midface-lifting and meloplication using the Coapt Endotine Midface ST 4.5 device is a simple, effective technique that can be quickly learned and applied.<\/jats:p>","DOI":"10.1001\/archfaci.9.1.48","type":"journal-article","created":{"date-parts":[[2007,1,16]],"date-time":"2007-01-16T10:14:21Z","timestamp":1168942461000},"page":"48-55","source":"Crossref","is-referenced-by-count":23,"title":["A Simplified Approach to Midface Aging"],"prefix":"10.1177","volume":"9","author":[{"given":"Ryan N.","family":"Heffelfinger","sequence":"first","affiliation":[{"name":"Division of Head and Neck Surgery, UCLA Medical Center, University of California, Los Angeles."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith E.","family":"Blackwell","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, UCLA Medical Center, University of California, Los Angeles."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Rawnsley","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, UCLA Medical Center, University of California, Los Angeles."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory S.","family":"Keller","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, UCLA Medical Center, University of California, Los Angeles."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198305000-00011"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2005.08.002"},{"key":"e_1_3_1_4_2","first-page":"109","volume-title":"Endoscopic Facial Plastic Surgery","author":"Freeman MS","year":"1997","unstructured":"Freeman MS. Endoscopic malar pad lift and subperiosteal midface lift. In: Keller GS, ed. Endoscopic Facial Plastic Surgery. St Louis, Mo: Mosby-Year Book Inc; 1997:109-136"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199303000-00012"},{"key":"e_1_3_1_6_2","doi-asserted-by":"crossref","first-page":"2196","DOI":"10.1097\/00006534-199811000-00061","article-title":"Endoscopic malar\/midface suspension procedure","volume":"102","author":"Anderson RD","year":"1998","unstructured":"Anderson RD, , Lo MW. Endoscopic malar\/midface suspension procedure. Plast Reconstr Surg. 1998; 102:2196-2208. 9811022","journal-title":"Plast Reconstr Surg"},{"key":"e_1_3_1_7_2","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/S1064-7406(03)00082-8","article-title":"Current techniques in midface lifting","volume":"10","author":"Namazie A","year":"2002","unstructured":"Namazie A, , Alum D, , Keller GS. Current techniques in midface lifting. Facial Plast Surg Clin North Am. 2002; 10:53-62. 15062329","journal-title":"Facial Plast Surg Clin North Am"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.4.1.20"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/074880689501200106"},{"key":"e_1_3_1_10_2","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1097\/00006534-200208000-00042","article-title":"Meloplication of the malar fat pads by percutaneous cable-suture technique for midface rejuvenation: outcome study (392 cases, 6 years' experience)","volume":"110","author":"Sasaki GH","year":"2002","unstructured":"Sasaki GH, , Cohen AT. Meloplication of the malar fat pads by percutaneous cable-suture technique for midface rejuvenation: outcome study (392 cases, 6 years' experience). Plast Reconstr Surg. 2002; 110:635-654. 12142689","journal-title":"Plast Reconstr Surg"},{"key":"e_1_3_1_11_2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/S0094-1298(20)30969-X","volume":"22","author":"Stuzin JM","year":"1995","unstructured":"Stuzin JM, , Baker TJ, , Gordon HL, , Baker TM, . Extended SMAS dissection as an approach to midface rejuvenation. 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