The extended centrolateral endoscopic midface lift

Most of the advances in face lift techniques in the past decade have been directed at altering the aging changes of the midface. Our technique for endoscopic midface lifting releases the entire central and lateral midface, which allows for a complete resuspension and rejuvenation. This technique utilizes a subperiosteal release of the midface from the infraorbital rim to the inferior aspect of the maxilla and laterally over the entire zygomatic arch to the gonial angle beneath the masseteric aponeurosis. Suspension is achieved superolaterally to the deep temporal fascia and repositions the malar fat pad, SOOF, and soft tissues overlying the angle of the mandible. Over 400 procedures have been performed. We found the degree of improvement in the following order, from greatest to least: (1) correction of midface ptosis and infraorbital hollowing, (2) improvement of the depth of the nasolabial fold, and (3) improvement of the degree of jowling. This technique is one of low morbidity and few complications.