Subperiosteal and full-thickness skin rhytidectomy

Subperiosteal lateral brow and midface elevation, upper lid blepharoplasty, transconjunctival retroseptal fat removal, lower lid skin excision, and fu ll-thickness skin rhytidectomy are combined in one operation to rejuvenate the entire face. This combination of procedures is designed to restore both anthropometric and subjective attributes of youth. The attributes of a you thful face may be summarized as brews with an apex lateral slant, eyes that are narrow, lower lids that are shore, cheeks that are full, and necks tha t are well defined. In addition to restoring a youthful appearance, the tec hniques described avoid some common iatrogenic sequelae of facial rejuvenat ive surgery, In a clinical experience with 28 patients over 3 years, this c ombination of procedures has proved to be safe and predictable.