The deep temporal lift: a multiplanar, lateral brow, temporal, and upper face lift

An extended brow upper facelift technique employing a multiplanar, temporal approach is described. Fresh cadaver dissections are utilized to demonstrate the anatomic basis of the approach. A complete mobilization of the orbital portion of the orbicularis oculi muscle away from the orbital rim is described. Release of the malar orbicularis (zygomatic cutaneous ligament) above the zygomaticus major muscle and over the origin of the masseter muscle is emphasized. Indications and patient selection are reviewed and the clinical benefit to the brow, lateral canthus, lower lid, and malar orbicularis cheek pad is demonstrated in different patient groups.