Subperiosteal Transblepharoplasty Composite Cheek Lift Without Lateral Canthal Modification

ABSTRACT

It has been recognized that the aging deformity of the midface and infraorbital area is characterized by descent of the eyelid skin below the orbital rim, an inferiorly displaced and prominent nasojugal fold, ptosis of the cheek pad, and a deep nasolabial fold. To address these changes a central facial technique using a transblepharoplasty subperiosteal approach with suspension of the cheek mass combined with a formal canthoplasty has been reported. This technique, and others, showed improvement in the aging face by repositioning and lifting the lower eyelid skin above the orbital rim, raising the malar fat pad, reorienting the nasojugal fold, and softening the nasolabial fold. In an attempt to simplify the procedure of raising and lifting a subperiosteal cheek composite flap, we have employed the use of a transblepharoplasty subperiosteal cheek lift without the use of canthopexy or canthoplasty. The operative technique is described. Excellent results have been achieved with a low complication rate.

Keywords

Cheek lift - rhytidectomy - blepharoplasty - canthopexy