THE DEEP TEMPORAL LIFT - A MULTIPLANAR, LATERAL BROW, TEMPORAL, AND UPPER FACE LIFT

An extended brow upper facelift technique employing a multiplanar, tem poral approach is described. Fresh cadaver dissections are utilized to demonstrate the anatomic basis of the approach. A complete mobilizati on of the orbital portion of the orbicularis oculi muscle away from th e orbital rim is described. Release of the malar orbicularis (zygomati c cutaneous ligament) above the zygomaticus major muscle and over the origin of the masseter muscle is emphasized. Indications and patient s election are reviewed and the clinical benefit to the brow, lateral ca nthus, lower lid, and malar orbicularis cheek pad is demonstrated in d ifferent patient groups.