Trans-inferior orbital rim anchorage and fascia roll multi-loop temporal anchorage in midface rejuvenation. Pierjean (pier) Albrecht: Aesthetic Surgery Journal Volume 26, Issue 4, Pages 404-412 (July 2006)
Pierjean (pier) Albrecht, MD, PhD1
Accepted 14 March 2006.
Background
A paradigm promoted for midface rejuvenation by Besins in his reverse and repositioning effect (RARE) technique considers 3 vertical sectors of the face. It relies on thread-based suspensions of the malar area and the orbicularis oculi with long cable suture forehead anchoring.
Objective
The author reports on the use of short cable suture anchorage points as an alternative suspension method that helps to avoid and/or correct asymmetry and ectropion.
Methods
An oblique malar elevation with short cable suture transorbital anchoring, in conjunction with a Hester-Flowers orbicularis oculi transzygoma anchoring technique, was performed using a new technique for fascia roll, multi-loop temporal anchoring and auricular tightening.
Results
A series of 295 patients have undergone the procedure since Spring 2002, with follow-up of up to 31 months. A strong oblique malar elevation, focused on nasolabial fold correction, eyebrow elevation, and better jaw definition, along with a natural appearance of the face were found to be stable over time.
Conclusions
Transorbital anchoring allows strong malar elevation and lower lid support for rejuvenation and correction of complications. It should be combined with a Hester-Flowers orbicularis oculi transzygoma anchoring technique and can be performed in conjunction with a fascia roll, multi-loop temporal lift, submental fat and partial submaxillary gland removal, and auricular tightening as part of a full face lift procedure.
Reprint requests: Pierjean Albrecht, MD, PhD, C/Los Gladiolos, Nueva Andalucia, Marbella 29660, Spain
* “Trans-Inferior Orbital Rim Anchorage and Roll Fascia Multi-Loop Temporal Anchorage en Midface de rajeunissementâ€. Aesthetic Surgery Journal, Pierjean (pier)  Albrecht, august 2006 (Journal of the American Society for Plastic-Aesthetic Surgery )
Trans-inferior orbital rim anchorage and fascia roll multi-loop temporal anchorage in midface rejuvenation.- US National Library of Medicine, National Institutes of Health :
Pierjean (pier) Albrecht presented and published his work about the relation between ageing skin and immun system , lasers, and Plastic-Aesthetic Surgery, in french and in International congresses and scientific publications :
* “Lasers compared use des lasers in Cutaneous Surgery , Dermatology and Plastic- Aesthétic Surgeryâ€, Pierjean Albrecht. Doc.Thesis.  Salamanca University. 2000.
Doctorate Thesis  – Pierjean (pier) Albrecht*
 Malar  Implants in  zone 1. The transconjunctival route .2002.  Pierjean (pier) Albrecht. Summary Book, Congress  of the SOFCPRE 2002 (Société française de chirurgie plastique, réparatrice et esthétique).
* Closed Blépharoplasty, the pre-resection “U†suture .  Summary Book, Congress  of the SOFCPRE 2002 (Société française de chirurgie plastique, réparatrice et esthétique)
*  Gliadin Films. I:Gliadin films. I: Preparation and in vitro evaluation as a carrier for controlled drug release Internationnal Journal of Pharmaceutics. Pierjean (pier)  Albrecht co-auteur. 117 – 121 1995. Elsevier
* Higkight of antioxydant properties of a L. M.F. in dermo-cosmetics. Pierjean (pier) Albrecht. Journal de Pharmacie Clinique. 1995
Multifermented whey serum – Pierjean (pier) Albrecht
Multifermented whey serum – Pierjean (pier) Albrecht
Multifermented whey serum 2 – Pierjean (pier) Albrecht
Multifermented whey serum 2 – Pierjean (pier) Albrecht
Multifermented whey serum 3 – pierjean (pier) albrecht
Multifermented whey serum 3 – pierjean (pier) albrecht
Multifermented whey serum 4 – Pierjean (pier) Albrecht
Multifermented whey serum 4 – Pierjean (pier) Albrecht
Berlin Symposium 2004 – Dr Pierjean (pier) Albrecht
Berlin Symposium 2004 – Dr Pierjean (pier) Albrecht
Berlin Symposium 2004 – Dr Pierjean (pier) Albrecht
Berlin Symposium 2004 – Dr Pierjean (pier) Albrecht
*  Alloplastic Malar Implants in M/M.A.U.* - zone 1 – for aesthetic purposes. The transconjonctival route. Pierjean (pier) Albrecht. Anti-Ageing World Conference. Paris 2003
Anti-aging World Conference – Pierjean (pier) Albrecht
Anti-aging World Conference – Pierjean (pier) Albrecht
* National Congress of the  SOFCPRE. 2002 (Société Française de Chirurgie Plastique, Réparatrice et Esthétique ): “Closed Blépharoplastie, the pre-resection “U†suture â€Â 2002
* Alloplastic Malar implants in M/M.A.U.* - zone 1 – for aesthetic purposes. The Transconjonctival route . Pierjean (pier) Albrecht. Summary Book of theNational Congress of the  SOFCPRE. 2002 (Société Française de Chirurgie Plastique, Réparatrice et Esthétique )
SOFCPRE Certificate – Pierjean (pier) albrecht
SOFCPRE Certificate – Pierjean (pier) albrecht
*  Alloplastic Malar Implants   in M/M.A.U.* - zone 1 – for aesthetic purposes. The Transconjonctival routel . Pierjean Albrecht. IMCAS congress. Paris 2002
IMCAS CERTIFICATE 2002 pierjean (pier) albrecht
IMCAS CERTIFICATE 2002 pierjean (pier) albrecht
* Laser and Facial Plastic and et Aesthetic Surgery. Pierjean (pier) Albrecht. Guadalajara Surgery School. Mexico. 2002
* Clinical Interest of L.M.F . Salon de Dermatologie Pratique.Paris 1995
* Use of immun-complexes in ageing skin.Pierjean (pier) Albrecht. Congress of the Rio De Janeiro Aesthetic Medicine Society , Brazil 1994.