AESTHETIC GOALS AND OPTIONS IN MIDFACE REJUVENATION

• CORRECTION OF VECTOR AND VOLUME BASED AGING OF THE MIDFACE

OPTIONS

• TEMPORAL APPROACH WITH OR WITHOUT ENDOSCOPY
• LATERAL / SMAS APPROACH
• VERTICAL / TRANSPALPEBRAL SUB-SOOF APPROACH

SURGICAL STEPS

• LOCAL ANESTHESIA WITH SEDATION OR GENERAL ANESTHESIA
• DIRECT INFILTRATION OF LOWER LID 
• INFRAORTIBAL NERVE BLOCK / LIDOCAINE AND BUPIVACAINE
• LOWER LID INCISION BENEATH LASH LINE
• SKIN / MUSCLE FLAP
• SUBSOOF DISSECTION
• VERTICAL CHEEK LIFT
• LATERAL CANTHOPEXY
• LID SUPPORT
• CONSERVATIVE SKIN EXCISION 
• TEMPORARY SUPPORT WITH STERISTRIPS

ANTICIPATED RESULT

• SHORTENING OF THE LID/CHEEK JUNCTION
• MALAR AUGMENTATION
• SOFTENING OF THE NASOLABIAL FOLD
• ELEVATION OF THE ANTERIOR JAWLINE

Videos of actual  PRINCESS LIFT  procedures