Facial plast Surg 2006; 22(2): 105-111
DOI: 10.1055/s-2006-947716
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Anatomic and Aesthetic Considerations in Midfacial Rejuvenation

Stephen A. Goldstein1 , Scott M. Goldstein2 , 3
  • 1Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
  • 2Occuloplastic Service, Wills Eye Hospital, Philadelphia, Pennsylvania
  • 3Department of Ophthalmology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Further Information

Publication History

Publication Date:
18 July 2006 (online)


An early sign of the aging process involves changes to the midface. The loss of the lid-cheek continuum begins with underlying laxity in the orbitomalar ligament. As the face continues to age, the malar pad drops inferomedially in position. The approach to the midface has evolved over the past 15 years with the advent of endoscopically assisted techniques of midfacial elevation. Further technology, such as thread-lifting procedures and the Endotine Midface™, have supplemented the choices for surgical correction of this facial segment. Descriptions of the different approaches to the aging midface are reviewed.