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Goldstein SA, Goldstein
SM.
Department of Otolaryngology, Division
of Facial Plastic and Reconstructive Surgery, University of
Pennsylvania School of Medicine, Philadelphia, 19107, USA.
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
Midfacetrade
mark, have supplemented the choices for surgical correction
of this facial
segment. Descriptions of the different approaches to the aging
midface are
reviewed.
Facial Plast Surg. 2006 May;22(2):105-11.
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