A Simplified Transblepharoplasty Subperiosteal Cheek Lift

Abstract

Surgical treatment of the aging face is continuing to evolve. Recent emphasis has focused on managing the malar region, specifically ptosis of the cheek pad. Several authors have described techniques for correcting facial aging changes in the midface through an endoscopic approach or transblepharoplasty approach. The latter procedure requires a lateral canthoplasty, which adds technical difficulty and potential complications to the procedure. We have modified these procedures and now perform a simplified transblepharoplasty subperiosteal cheek lift without routine canthoplasty or canthopexy. Sixty patients who had this procedure were evaluated. Analysis of these patients revealed that our simplified approach to transblepharoplasty subperiosteal cheek lift provides excellent correction of midfacial aging changes with a low incidence of postoperative complications. This article describes this technique and reviews our results. (Plast. Reconstr. Surg. 103: 2029, 1999.)