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The Evolution of the Midface Lift in Aesthetic Plastic Surgery

Paul, Malcolm D. M.D.; Calvert, Jay W. M.D.; Evans, Gregory R. D. M.D.

Plastic and Reconstructive Surgery: May 2006 - Volume 117 - Issue 6 - p 1809-1827
doi: 10.1097/01.prs.0000218839.55122.c0

Summary: The midface lift has recently gained significant popularity with many surgeons. It allows the surgeon an opportunity to achieve greater facial harmony with facial rejuvenation procedures by correcting midfacial atrophy, addressing the tear trough deformity, and correcting the perceived malposition of the malar fat pad. This article examines the history of midfacial procedures. Surgical attempts at improving the aging face have evolved from minimal excisions and skin closure to aggressive dissections at multiple planes. The midface target area is peripheral to classic approaches, and its correction has required further anterior dissection from a distance or direct access centrally. Ultimately, conquering the stigmata of midface aging is entirely related to vectors and volume.

Supplemental Digital Content is Available in the Text.

Irvine, Calif.

From the Aesthetic and Plastic Surgery Institute, University of California, Irvine.

Received for publication July 9, 2004; revised April 28, 2005.

Readers may also refer to the online version of the article at the Journal’s Web site ( for additional materials.

Malcolm D. Paul, M.D., 1401 Avocado Avenue, Suite 810, Newport Beach, Calif. 92660,

©2006American Society of Plastic Surgeons