Month: October 2015

Making Concave Faces Convex

29, October, 2015

Concave faces are often considered less attractive than convex ones. The lesser midface skeletal projection intrinsic to concave faces poorly supports the soft tissues resulting in premature lower lid and cheek descent, as well as visible bags.  These faces are “morphologically prone” to further lower lid descent after blepharoplasty.   The concave midface also makes the […]


Periorbital Skeletal Augmentation Can Improve Blepharoplasty and Midface Surgery Results

23, October, 2015

Aging results in soft tissue descent with rounding of the palpebral fissure, lengthening of the lower lid, and a loss of cheek prominence. In patients with skeletal deficiency (midface concavity), these signs of aging are early and exaggerated. These skeletally deficient faces are also “morphologically prone” to further lower lid descent after blepharoplasty . Recent […]


Concepts of Midface Soft Tissue and Skeletal Aging

16, October, 2015

Traditional concepts of periorbital and midface aging and rejuvenation focus on the soft tissues. Recently, senescent changes in the supporting facial skeleton been investigated. Findings in these studies revealed retrusion of the midface skeleton and support the concept of alloplastic augmentation of the midface skeleton as part of the algorithm for periorbital and midface rejuvenation […]


Primary and Secondary Malar Implant Surgery

09, October, 2015

During plastic surgery training, my chief warned that, too often, patients are displeased with their appearance after alloplastic malar augmentation. Dr. Hoopes facetiously said: “Malar implant surgery is a three- part procedure. You put them in. You adjust them. You take them out” Although this statement exaggerates the frequency of patient dissatisfaction after malar augmentation, […]