Subperiosteal lateral brow and midface elevation, upper lid blepharoplasty, transconjunctival retroseptal fat removal, lower lid skin excision, and full-thickness skin rhytidectomy are combined in one operation to rejuvenate the entire face. This combination of procedures is designed to restore both anthropometric and subjective attributes of youth. The attributes of a youthful face may be summarized as brows with an apex lateral slant, eyes that are narrow, lower lids that are short, cheeks that are full, and necks that are well defined. In addition to restoring a youthful appearance, the techniques described avoid some common iatrogenic sequelae of facial rejuvenative surgery. In a clinical experience with 28 patients over 3 years, this combination of procedures has proved to be safe and predictable. (Plast. Reconstr. Surg. 107: 1045, 2001.)
From the Division of Plastic Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School. Received for publication January 3, 2000; revised August 24, 2000.
Michael J. Yaremchuk, M.D. Division of Plastic Surgery Massachusetts General Hospital, WACC-453 Boston, Mass. email@example.com