Personal Approach to the Aging Lower Lid and Face

This article presents the author's personal approach to the lower lid and midface. The approach is based on a systematic process of determining which combination of surgical procedures can optimally address the patient's concerns and correct the anatomic findings. In most faces, there is an opportunity for both suspension and tightening of ptotic structures and also provision for volumetric filling and shifting of tissues. Our present algorithms for lower lid and face rejuvenation will likely change with a better understanding of the aging processes and the development of more effective, safer, and longer-lasting procedures to meet the individualized age-appropriate needs of patients.