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Related Experiment Video

Updated: Apr 20, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Contemporary thoughts on lower eyelid/midface aging.

Dallas R Buchanan¹, Allan E Wulc²

¹Division of Plastic and Reconstructive Surgery, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140, USA.

Clinics in Plastic Surgery

|December 3, 2014

Summary

Midfacial aging involves volume loss, descent, and skin changes affecting all facial areas. Understanding these 3-D changes is key to addressing lower eyelid and midface aging.

Keywords:

Aging Aging face Facial anatomy Lower eyelid Midface Periorbital aging Volume descent Volume loss

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Surgical Correction for Pediatric Epiblepharon and Trichiasis

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Area of Science:

Aesthetic medicine and facial anatomy.
Gerontology and dermatological aging processes.

Background:

Midfacial aging is a complex, three-dimensional process.
It encompasses volume loss, gravitational descent, and skin textural changes.
All anatomical structures within the midface are impacted.

Purpose of the Study:

To discuss the morphological consequences of midfacial aging.
To review existing literature on the factors contributing to aging in the lower eyelid and midface.

Main Methods:

Literature review of studies on midfacial aging.
Morphological analysis of age-related changes in the midface.
Discussion of contributing factors to lower eyelid and midface aging.

Main Results:

Aging affects midfacial volume, position, and skin quality.
Specific anatomical components of the midface undergo significant alterations.
Multiple factors contribute to the aged appearance of the lower eyelid and midface.

Conclusions:

Midfacial aging is a dynamic, multi-component process.
Comprehensive understanding of these changes is crucial for effective rejuvenation strategies.
Further research into the specific factors driving lower eyelid and midface aging is warranted.