Lower Eyelid and Midface Aesthetics and Rejuvenation: Views from Four Disciplines

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 this region has dramatically changed. Whereas aggressive lower blepharoplasty, surgical midface lifts, and fillers in the etched laugh lines were the norm just less than 5 years ago, we now understand that there is more complexity to the management of this area. As a result, there has been an accelerated development and refinement of surgical and nonsurgical rejuvenative procedures founded on the contributions of specialists from various disciplines, such as plastic surgery, facial plastic surgery, oculoplastic surgery, and dermatology. As such, a comprehensive reference on cosmetic interventions tailored to enhance the appearance of midface and lower eyelids can only be complete with a multidisciplinary approach constructed with contributions from each of these core specialties. In this Clinics in Plastic Surgery , it was decided to focus on a multispecialty approach by first publishing, “Brow and Upper Eyelid Surgery: Multidisciplinary Insights ” 2 years ago. This issue is the follow-up volume dedicated to the lower lids and midface with a similar format and authorship.

In this issue, we put forth a series of in-depth articles dedicated to the lower eyelids and midface by experts in Plastic Surgery, Facial Plastic Surgery, Oculoplastic Surgery, and Dermatology. We have tried to put forth a truly comprehensive, diverse, and multidisciplinary view of surgical and noninvasive esthetic enhancements of the lower lid–midface region. This project was an invaluable and enjoyable experience that allowed us the opportunity to unite, debate, compare, and contrast different views on the same basic principles and procedures. From the experience, we feel we are better practitioners and surgeons.

To our four section editors, Andrew Jacono, Robert M. Schwarcz, Hema Sundaram, and Steven P. Davison, we are indebted beyond words. You did the real work. We would like to thank the contributing physicians for their time, which we know is limited. The contributing authors are the gatekeepers and, without their valued efforts, there is no project. Also, we had the good fortune of working with Elsevier, a great publisher, with a wonderful staff who never said no to anything we asked for. We are especially thankful to Joanne Husovski, our Senior Editor at Clinics in Plastic Surgery , who was by far the most invaluable resource and point person anyone could ask for. Finally, we are both fortunate to have families and friends who support us in our varied professional endeavors. This is the greatest gift of all as their sacrifices are what allow us to grow and enhance our love for what we do.

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