Refinements in rejuvenative facial lipomorphoplasty

Facial planes and pilasters are introduced, defined, and classified. Their progressive changes in robustness, shape, and direction with age are demonstrated. These changes in the pilasters result largely from age-related fat atrophy which also leads to a structural volume deficit and chronic muscle action. Restoration of the pilasters to a more youthful position, shape, direction, and robustness enhances the results of rejuvenative facial lipomorphoplasty achieved by correction of the structural volume deficit in the early stages of aging.