title: Direct fixation of the malar pad.
abstract: In most patients, the upper portion of the subcutaneous fatty mass--the malar pad--is modest in size and only moderately displaced inferiorly. Mobilization of the malar pad together with the ovelying skin flap achieves a pleasing result in these cases. Occasionally a patient will present with very prominent and ptotic malar fat pads and deep nasolabial folds that cannot be adequately addressed by existing methods. This article describes a technique of malar pad suspension by direct suturing that preserves the blood supply to the pad while placing it in a higher, more aesthetic position.
authors.affiliation: Department of Surgery, University of Texas Southwestern Medical Center, Dallas, USA.
authors.forename: F E
authors.initials: FE
authors.lastname: Barton
authors.forename: J M
authors.initials: JM
authors.lastname: Kenkel
mesh_terms: D000273:Adipose Tissue / Q000601:surgery*; D002610:Cheek / Q000033:anatomy & histology / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D015361:Rhytidoplasty / Q000379:methods*; D015595:Skin Aging