Facial plast Surg 2013; 29(01): 001-002
DOI: 10.1055/s-0033-1333837
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Aesthetic Treatment of the Eyelids and Midface

Michael M. Kim
Department of Otolaryngology, Head and Neck Surgery, Oregon Health & Science University, Portland, Oregon
Tom D. Wang
Department of Otolaryngology, Head and Neck Surgery, Oregon Health & Science University, Portland, Oregon
› Author Affiliations
Further Information

Publication History

Publication Date:
20 February 2013 (online)

Zoom Image
Michael M. Kim, MD
Zoom Image
Tom D. Wang, MD, FACS

If the eyes are the “windows to the soul,” then the periorbita is the window treatment. Aging changes and deformities of this area are of great interest because of their conspicuous nature and prominent position on the face. Through advances in our understanding of the aging process and underlying anatomy, facial plastic surgeons have developed a more comprehensive, three-dimensional approach to surgical remedies.

For the novice surgeon, periorbital and midfacial surgery can be a “black box.” Much like the nose, the periorbita exhibits a high level of anatomic complexity and sits at the crossroads of function and aesthetics. Both aspects need to be taken into account to avoid functional problems resulting from aesthetic surgical misadventures.

There are few other facial regions where techniques are evolving as quickly as in the periorbital area. Nowhere is this more evident than in the paradigm shift from volume removal to volume restoration and augmentation. We have gone from aggressive fat resection to preservation to repositioning in a matter of years. Although additional paradigm shifts will undoubtedly occur in the years to come, this issue of Facial Plastic Surgery intends to highlight our current understanding of aesthetic periorbital and midface techniques.

To that end, we have recruited the expertise of authors from the American Academy of Facial Plastic and Reconstructive Surgery as well as from the American Society of Ophthalmic & Plastic Reconstructive Surgery. We believe that collaboration between our surgical groups can only help in achieving the goals of improved surgical results and increased patient safety.

We thank the authors who contributed their valuable time to this issue and Dr. Sclafani for the opportunity to serve as Guest Editors for what we hope is a valuable reference for our colleagues.