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Updated: May 19, 2026

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Decellularization-Based Quantification of Skeletal Muscle Fatty Infiltration
Published on: June 9, 2023
[Anatomic study of malar fat pad and aging analysis]
Ning-ze Yang1, Zhi-jun Wang, Bin Wang
1Plastic Surgery of Dalian University Affiliated Xinhua Hospital, Dalian 116021, China.
Summary
Midface aging is linked to the malar fat pad
Area of Science:
- Anatomy
- Aging Research
- Facial Plastic Surgery
Background:
- Midface aging involves complex anatomical changes.
- The malar fat pad's role in facial aesthetics is significant.
- Understanding these changes is crucial for effective rejuvenation techniques.
Purpose of the Study:
- To investigate the anatomical characteristics of the malar fat pad.
- To elucidate the mechanism of midface aging.
- To identify key anatomical structures contributing to midface structure.
Main Methods:
- Anatomical dissection of 10 fresh adult cadaveric heads (20 sides).
- Microsurgical techniques under microscopic observation.
- Detailed recording and photography of the malar fat pad and surrounding ligaments.
Main Results:
- The malar fat pad is triangular, with specific extensions and fibrous composition.
- Connections between the skin and malar fat pad were mapped into four areas.
- Six distinct fixation ligaments anchor the malar fat pad to deeper facial structures.
Conclusions:
- The malar fat pad and facial skin maintain consistency through connective tissues.
- Ligament laxity is a primary factor in malar fat pad descent.
- Malar fat pad ptosis significantly contributes to the aging appearance of the midface.

