A simplified transblepharoplasty subperiosteal cheek lift

Surgical treatment of the aging face is continuing to evolve. Recent emphas is has focused on managing the malar region, specifically ptosis of the che ek pad. Several authors have described techniques for correcting facial agi ng changes in the midface through an endoscopic approach or transblepharopl asty 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 transblepharopl asty subperiosteal cheek lift without routine canthoplasty or canthopexy. S ixty patients who had this procedure were evaluated. Analysis of these pati ents revealed that our simplified approach to transblepharoplasty subperios teal cheek lift provides excellent correction of midfacial aging changes wi th a low incidence of postoperative complications. This article describes t his technique and reviews our results.