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)

ABSTRACT

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.

REFERENCES

  • 1 Matros E, Momoh A, Yaremchuk M J. The aging midfacial skeleton: implications for rejuvenation and reconstruction using implants.  Facial Plast Surg. 2009;  25 252-259
  • 2 Marotta J C, Quatela V C. Lower eyelid aesthetics after endoscopic forehead midface-lift.  Arch Facial Plast Surg. 2008;  10 267-272
  • 3 Keller G S, Namazie A, Blackwell K, Rawnsley J, Khan S. Elevation of the malar fat pad with a percutaneous technique.  Arch Facial Plast Surg. 2002;  4 20-25
  • 4 Heffelfinger R N, Blackwell K E, Rawnsley J, Keller G S. A simplified approach to midface aging.  Arch Facial Plast Surg. 2007;  9 48-55
  • 5 Keller G S, Cray J. Suprafibromuscular facelifting with periosteal suspension of the superficial musculoaponeurotic system and fat pad of Bichat rotation: tightening the net.  Arch Otolaryngol Head Neck Surg. 1996;  122 377-384

Gregory S KellerM.D. F.A.C.S. 

Assistant Clinical Professor of Surgery, Division of Head and Neck Surgery, David Geffen School of Medicine at UCLA

221 West Pueblo Street, Suite A, Santa Barbara, CA 93105

Email: drgregorykeller@gmail.com

Email: faclft@aol.com

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