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Updated: Aug 13, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Current Practices and Trends in Midface Rejuvenation.

Jennifer N Shehan, Lucia S Ryll1, Jessica LeClair2

  • 1Division of Facial Plastic and Reconstructive Surgery, Boston Medical Center, Boston, MA.

Annals of Plastic Surgery
|January 23, 2023
PubMed
Summary

Cosmetic surgeons increasingly prefer minimally invasive techniques like fillers and fat transfer for midface rejuvenation over invasive surgical methods. This trend reflects a shift in aesthetic practices nationwide.

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Area of Science:

  • Plastic Surgery
  • Cosmetic Surgery
  • Facial Rejuvenation

Background:

  • Midface aging treatments are complex with limited clinical trial data.
  • Surgeons often rely on personal preference due to data scarcity.
  • National trends in midface rejuvenation practices require quantitative assessment.

Purpose of the Study:

  • To quantitatively assess national trends in cosmetic midface rejuvenation.
  • To analyze the shift towards or away from invasive vs. minimally invasive techniques.
  • To understand surgeon preferences in midface aging treatments.

Main Methods:

  • Cross-sectional study using a survey.
  • Survey distributed via American Academy of Facial Plastic and Reconstructive Surgery and American Society of Plastic Surgeons listservs.
  • Techniques categorized as minimally invasive (fillers, fat transfer) or invasive (facelift, implants).

Main Results:

  • 232 survey responses received from board-certified surgeons.
  • Minimally invasive techniques (66.67%) were preferred over invasive (33.33%).
  • Injectable fillers (34.88%) and fat transfer (20.93%) were most common; deep plane facelift preferred over subperiosteal lift.

Conclusions:

  • National trends show a preference for minimally invasive cosmetic procedures for midface aging.
  • The shift favors less invasive options like fillers and fat transfer.
  • Data provides quantitative insight into current midface rejuvenation practices.