Financial Disclosure: Dr Isse has a direct financial interest in the matter and materials discussed in this manuscript.
Surgery of the aging face has evolved from the early descriptions of rhytidectomy by Skoog1 to the composite technique of Hamra,2 the latter addressing the midface for the first time. Additional techniques have been developed, with the aim of achieving a more harmonious relationship between the ptotic malar fat, the periorbital region, and the remainder of the aging face.3-6 There has also been a trend toward less invasive procedures for facial rejuvenation.
Barbed Polypropylene Sutures for Midface ElevationEarly Results. Arch Facial Plast Surg. 2005;7(1):55-61. doi:10.1001/archfaci.7.1.55