The Management of Festoons
The orbicularis retaining ligament is the structure responsible for defining the palpebromalar groove and is a key structure in the appearance of aging of the midface. A major anatomic basis…
Aesthetic Canthal Suspension
Support of the lower eyelid with canthal suspension is a useful tool in the prevention of complications of lower blepharoplasty, particularly for eyelids with increased lower lid laxity, relatively prominent…
Management of Postblepharoplasty Lower Eyelid Retraction
Future advances in the treatment of lower eyelid retraction will likely focus on new synthetic graft materials that are inert and stable with minimal potential for reabsorption. Other advances may…
Complications of Lower Blepharoplasty and Midface Lifting
Lower eyelid blepharoplasty and midface lifting share a complex anatomy, which should be mastered before attempting these types of surgeries. In recent years, there have been significant contributions to rejuvenating…
Transcutaneous Lower Blepharoplasty with Fat Transposition
Recent studies of periorbital aging have emphasized orbital fat preservation and transposition as an effective means of rejuvenating the lower lid and midface. Frequently, patients present with orbital fat pseudoherniation…
Transconjunctival Lower Lid Blepharoplasty with and Without Fat Repositioning
The transconjunctival technique for lower lid blepharoplasty, by virtue of a reduced rate of lower eyelid malposition, improved healing, and a concealed incision, has some appeal compared with the transcutaneous…
Dark Circles
Dark under-eye circles are a common cosmetic complaint among patients, spanning all age groups and skin types. We review the anatomic and physiologic features of dark circles and highlight the…
An Algorithmic Approach to Multimodality Midfacial Rejuvenation Using a New Classification System for Midfacial Aging
Midfacial aging involves a complex interplay between the aging osseous skeleton, facial retaining ligaments, soft tissue envelope, facial fat compartments, and the overlying skin. The authors describe a classification of…
Contemporary Thoughts on Lower Eyelid/Midface Aging
Aging of the periorbital and midface complex is a dynamic, multifactorial, and inevitable process. This article reviews the morphologic changes that occur in the aging midface and discusses the pathogenesis…
Lower Eyelid and Midface Aesthetics and Rejuvenation: Views from Four Disciplines
Babak Azizzadeh, MD, Editor Guy G. Massry, MD, Editor The midface and lower eyelids act as an esthetic unit. Over the past decade, our understanding of the aging process of…
