The purpose of this article is to provide the plastic, dermatologic, oculoplastic, and facial plastic surgery communities with anatomic and embryologic evidence to support the use of the deep-plane technique…
The midface has suffered vigorous challenges in terms of rejuvenation techniques. Various alternatives are available for facial skeletal and soft tissue volume enhancement. After a thorough facial analysis, the surgeon…
Removal of skin and fat around the eye exacerbates an already hollow, aged eye. The buccal region is critical in the appearance of the midface. An undercorrected midface still shows…
The lower lid-cheek junction and the nasolabial folds are probably the two major stigmata of the aged face. Over the past two decades the use of the transtemporal approach has…
The transeyelid approach to midface lift is an elegant approach for mild descent of malar soft tissue. The subciliary approach is the most commonly used and technically less challenging for…
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…
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…
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…
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…
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…
