Facial plast Surg 2003; 19(2): 157-170
DOI: 10.1055/s-2003-40002
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Transblepharoplasty: Subperiosteal Approach to Rejuvenation of the Aging Midface

Keith A. LaFerriere1 , Jefferson K. Kilpatrick2
  • 1Department of Surgery, Division of Otolaryngology, University of Missouri at Columbia, Springfield, MO
  • 2Pinehurst Surgical Clinic, Pinehurst, NC
Further Information

Publication History

Publication Date:
24 June 2003 (online)


Multiple approaches are available to rejuvenate the aging midface. Our preferred technique is a graduated transblepharoplasty approach beginning with lower blepharoplasty with or without orbital fat repositioning and progressing to a subperiosteal midface lift, guided by the extent of aging changes present in the midface. In this article we discuss the rationale for this method and describe the preoperative analysis, relevant anatomy, surgical technique, postoperative considerations, and complications associated with each technique. Case examples are provided to illustrate major concepts.