Midforehead incisions in treatment of the aging face

The concept of total facial rejuvenation requires attention to all areas of the face, including the upper third. Recently there has been a resurgence of interest in this area of the aging face. Various clinical conditions may be seen as a single entity or in combination with others, and it is important for the facial aesthetic surgeon to diagnose and treat these conditions. The conditions first observed, diagnosis, and conventional surgical remedies are reviewed in an attempt to clarify the rationale for forehead lift v temple lift v browpexy v upper blepharoplasty. Midforehead glabellaplasty (vertical and longitudinal), browpexy, and rhytidectomy are analyzed in depth, as well as the indications, contraindications, technique, and results.