It is also called “regional midface lift” and is a minimally invasive fascia lift surgery. The main concept of this surgery is to lift the composite flap of loosened midface skin including the superficial fascia in the posterior superior direction (45°) and to remove excess scalp for sustaining an optimal result, which will therefore hide scars in the scalp. The surgery is performed by making an incision of approximately 2 cm on the scalp above the temple. Via the incision, blood vessels and nerves in the scalp are separated before the proper dissection of subcutaneous superficial fascia, and the range is limited to the area adjacent to the hairline. Therefore, the skin will not suffer from too much trauma or swelling. After the flap is well dissected, the whole unit of distal skin and superficial fascia can be pulled upward toward the back by lift threads and secured to the deep fascia at the incision. Thus, the overall midface skin, as well as the fascial layer, is effectively stretched and lifted to the posterior portion of the scalp. Lastly, excess scalp tissue is removed to enhance surgical tightening and ensure the duration of results, which lasts for approximately 2–3 years on average.
This surgery produces an instant and obvious tightening effect on the lateral midface and part of lower facial skin laxity, and the results are more stable and last longer than a simple thread embedding lift. It not only addresses early cheek sagging in numerous women at the initial stage but also effectively delays or prevents sagging of the cheek, nasolabial folds, or even fat pads around the mouth to make the mid-lower face and jawline tighter, thus offering the benefits of V-shaped face contouring. Moreover, as the surgical extent is predominantly confined within the medial margin of the scalp, there is almost no facial swelling or recovery period after the operation, but the results are quick and natural. Consequently, it is a preliminary surgery to improve early facial aging problems in young and middle-aged patients.