Transconjunctival midface lift: A "hole" different fixation

Bryan J. Correa, Bradley Eisemann, Michael Louis Eisemann

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


BACKGROUND: Improvements in midfacial rejuvenation have allowed for more predictable and reliable results; however, there are still common problems that can lead to a suboptimal outcome. Specifically, we aim to achieve an appropriate vector of lift, adequate camouflaging of the nasojugal groove, especially medially, as well as to obtain a durable, long-term result. OBJECTIVE: We aim to demonstrate that utilizing bony fixation to obtain midface lift will allow for better control of vector placement as well as lead to a more durable result and, thus, a better long-term outcome. METHODS: We reviewed our series of 12 cases using a new technique of transconjunctival midface lifting alone or in combination with a standard facelift to correct the issues of midface descent and the tear trough deformity. By utilizing a suture technique using bony fixation, we present a technique that addresses all of the above issues while providing a durable, long-term result. RESULT: The result in all cases was rated good to excellent with no eyelid malposition, ectropion, or relapse at the 12-month follow-up visit. The advantages of the technique include (1) achieving a full vertical vector of soft tissue elevation, (2) smoothing the concave lid-cheek junction with local tissue, and (3) durable suspension by utilizing bony fixation. CONCLUSION: The transconjunctival midface lift is a powerful tool in the armamentarium of the facial aesthetic surgeon. Through a simple innovation utilizing bony fixation, a more durable result can be obtained.

Original languageEnglish (US)
Pages (from-to)987-991
Number of pages5
JournalJournal of Craniofacial Surgery
Issue number3
StatePublished - May 1 2013


  • Ectropion
  • Facial aging
  • K-wire
  • Lagopthalmos
  • Midface
  • Midface lift
  • Midface reconstruction
  • Midfacial aging
  • Orbitomalar ligament
  • Transconjunctival

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery


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