Facial plast Surg 2010; 26(3): 232-238
DOI: 10.1055/s-0030-1254334
© Thieme Medical Publishers

Rejuvenation of the Lower Lid and Periocular Area from Above

Xerxes Punthakee1 , Grigoriy Mashkevich2 , Gregory S. Keller3
  • 1Division of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California
  • 2Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, New York Eye and Ear Infirmary, New York, New York
  • 3Division of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Santa Barbara, California
Further Information

Publication History

Publication Date:
03 June 2010 (online)


Rejuvenation of the periocular region, specifically the lower eyelid region, can be performed with a variety of methods. One finding of the aging lower eyelid region is the “Y-deformity.” Elevation of the midface is a powerful tool that can significantly improve the appearance of the lower eyelid. This article addresses the elevation of the midface through two approaches: the meloplication and the subperiosteal midface-lift. In addition to midface elevation, a short discussion on canthopexy is included. Although the lower eyelid can be addressed in a variety of ways, rejuvenation of the periocular region from above should be considered in all patients, as these approaches yield good results.