title: An algorithmic approach to multimodality midfacial rejuvenation using a new classification system for midfacial aging.
abstract: Midfacial aging is the result of the complex interplay between the osseous skeleton, facial retaining ligaments, soft tissues envelope, facial fat compartments, and the overlying skin elasticity. As a result of the many anatomic components involved in midfacial aging, the authors proposed a classification system based on distinct anatomic factors to direct surgical treatment. Evidence based data suggest that midface rejuvenation often requires a multimodality approach to obtain desired results, especially in patients with more advanced aging and poor tissue elasticity, or those with hypoplastic midfacial skeletal structure.
authors.affiliation: Facial Plastic & Reconstructive Surgery, North Shore University Hospital, Manhasset, NY, USA; Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology/Head and Neck Surgery, New York Eye and Ear Infirmary, New York, NY, USA; New York Center for Facial Plastic & Laser Surgery, New York, NY, USA; New York Center for Facial Plastic & Laser Surgery, Great Neck, NY, USA. Electronic address: drjacono@gmail.com.
authors.forename: Andrew A
authors.initials: AA
authors.lastname: Jacono
authors.affiliation: New York Center for Facial Plastic & Laser Surgery, New York, NY, USA; New York Center for Facial Plastic & Laser Surgery, Great Neck, NY, USA.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Rousso
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D000375:Aging / Q000502:physiology*; D000465:Algorithms; D001763:Blepharoptosis / Q000503:physiopathology / Q000601:surgery; D004548:Elasticity; D005145:Face / Q000502:physiology*; D006801:Humans; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures; D012060:Rejuvenation; D015595:Skin Aging / Q000502:physiology*; D050151:Subcutaneous Fat / Q000502:physiology
keywords: Aging face; Facelift; Facial rejuvenation; Midface aging; Multimodality