[Mini-invasive midface lift with SMAS suspension and subperiosteum suspension].

Objective: To investigate a modified midface lift for baggy deformity of low eyelid, zygomatic laxity, periorbital wrinkle and deep nasolabial groove.

Methods: Through the incision at palpebral margin for baggy eyelid, the dissection was performed under the periosteum of midface. The orbicularis oculi and zygomatic major muscles were suspended to lift the midface through the incision at temporal area.

[Longitudinal gracilis musculocutaneous flaps with a crossing boundary blood supply from the obturator artery].

Objective: The traditional gracilis musculocutaneous flap is supplied by a branch of deep femoral artery, which enters the muscle in between the upper and middle third of it. So the flap barely reaches the pelvis and perineum region for reconstruction. By exploring the blood supply pattern we tried to rotate the flap Upon at the higher point starting at the obturator foramen in order to let it cover a bigger area.