Facial Plast Surg 2003; 19(2): 223-236
DOI: 10.1055/s-2003-40007
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Rejuvenation of the Midface

M. Sean Freeman
  • Private Practice, Kings Mountain, NC
Further Information

Publication History

Publication Date:
24 June 2003 (online)

ABSTRACT

Mid-face rejuvenation has long been a difficult area for aesthetic facial surgeons. In this article the author reviews the techniques currently available and examines in-depth two techniques that he feels are noteworthy for their efficacy in improving mid-face aging. One of these techniques is the “SMAS division mid-face lift” which targets aging of the mid-face associated with a deep nasolabial fold. The other technique is known as a “SOOF lift blepharoplasty” and helps to improve aging of the lower lid associated with a tear trough deformity. Facial aesthetic surgeons should gain a better appreciation of the approaches available for improving this challenging area after digesting the contents of this review article.

REFERENCES

  • 1 Ramirez O M. The subperiosteal approach for the correction of the deep nasolabial fold and the central third of the face.  Clin Plast Surg . 1995;  22(2) 341-356
  • 2 Fuente Del Campo A. Facelift without preauricular scars.  Plast Reconstr Surg . 1993;  92 642
  • 3 Freeman M S. Endoscopic malar pad lift and subperiosteal midface lift. In: Keller GS, ed. Endoscopic Facial Plastic Surgery St. Louis, MO: Mosby-Year Book 1997: 109-136
  • 4 Keller G S, Mamizie A, Blackwell K, Rawnsley J, Khan S. Elevation of the malar fat pad with a percutaneous technique.  Arch Facial Plast Surg . 2002;  4 20
  • 5 Freeman M S. Endoscopic malar pad lift.  Facial Plast Surg Clinic North Am . 1997;  5 29-42
  • 6 Freeman M S. Endoscopic techniques for rejuvenation of the midface.  Facial Plast Surg Clin North Am . 2001;  9(3) 453-468
  • 7 Freeman M S. Transconjunctival sub-orbicularis oculi fat (SOOF) pad lift blepharoplasty: a new technique for the effacement of nasojugal deformity.  Arch Facial Plast Surg . 2000;  2(1) 16-21
  • 8 Freeman M S. Tranconjunctival SOOF lift blepharoplasty: a new technique for the effacement of nasojugal deformity.  Facial Plast Clin North Am . 2000;  8(3) 291-302
  • 9 Flowers R S. Tear trough implants for correction of tear trough deformity.  Clin Plast Surg . 1993;  20 403-415
  • 10 Loeb R. Naso-jugal groove leveling with fat tissue.  Clin Plast Surg . 1993;  20 393-400
  • 11 Ramiriz A L, Monhian N, Maas C S. Current concepts in soft tissue augmentation.  Facial Plast Surg Clin North Am . 2000;  8 235-251
  • 12 Maas C S, Benton A B. Synthetic soft tissue substitutes.  Facial Plast Surg Clin North Am . 2001;  9(2) 219-227
  • 13 Owsley J Q. Lifting the malar fat pad for correction of prominent nasolabial folds.  Plast Reconstr Surg . 1993;  91 463-476
  • 14 Anderson P A, Tropper G J, McGraw G L. Extended blepharoplasty.  Arch Otolaryngol Head Neck Surg . 1991;  117(6) 606-609
  • 15 Baker S R. Orbital fat preservation in lower-lid blepharoplasty.  Arch Facial Plast Surg . 1999;  1 33-37
  • 16 Hamra S T. The role of orbital fat preservation in facial aesthetic surgery. A new concept.  Clin Plast Surg . 1996;  23(1) 17-28
  • 17 Cook T A, Derebery J, Harrah E R. Reconsideration of fat pad management in lower lid blepharoplasty surgery.  Arch Otolaryngol . 1985;  110 521-524
  • 18 Yousif N J, Sonderman P, Dzwierzynski W W. Anatomic considerations in transconjunctival blepharoplasty.  Plast Reconstr Surg . 1995;  96 1271-1276