Aesthetic Treatment of the Eyelids and Midface
20 February 2013 (online)
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.