ANCILLARY DIRECT EXCISIONS IN THE PERIORBITAL AND NASOLABIAL REGIONS FOR FACIAL REJUVENATION REVISITED

In select patients, direct excisions of nasolabial folds and secondary malar festoons may be appropriate. On occasion, direct browlifting pr ocedures may be indicated. We have analyzed our experience with 23 pat ients who had direct surgical excisions of skin as ancillary procedure s for facial rejuvenation. Standardized photographic techniques were u sed. In all cases, the desired surgical effect was achieved. In two pa tients who had a direct browlift, scarring was felt to be quite visibl e. We conclude that in a select group of patients, these procedures pr ovide predictably beneficial results.