{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:02Z","timestamp":1740126842224,"version":"3.37.3"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Facial aging in the midface has been described to encompass both soft tissue descent and volumetric change. Currently, there is no established and widely accepted grading system for midfacial ptosis. We propose a simplified grading system for midfacial ptosis ranging from mild to severe in terms of Grades I through III. Using this classification system, we describe an algorithm to help select the facelift approach most appropriate for each patient. The sub-superficial musculoaponeurotic system rhytidectomy, deep plane rhytidectomy, and subperiosteal midface lift techniques are described in detail. The nuances of the selection process also include a discussion on the various approaches to the orbital fat, namely a transconjunctival lower lid blepharoplasty with skin pinch versus a lower lid blepharoplasty with fat transposition, as well as the aging neck. Furthermore, we integrate the addition of postoperative adjunctive procedures which include injectables, chemical peels, and dermabrasion to address facial rejuvenation from not only a gravitational aspect but also the volumetric and textural components.<\/jats:p>","DOI":"10.1055\/s-0041-1725105","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T23:53:07Z","timestamp":1614815587000},"page":"149-159","source":"Crossref","is-referenced-by-count":2,"title":["The Selection of Facelift Approach on the Basis of Midfacial Ptosis"],"prefix":"10.1055","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2058-9903","authenticated-orcid":false,"given":"Vito C.","family":"Quatela","sequence":"additional","affiliation":[{"name":"PLLC\u2014Otolaryngology Division, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigar N.","family":"Ahmedli","sequence":"additional","affiliation":[{"name":"PLLC\u2014Otolaryngology 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botulinum toxins in the management of photoaging and facial lines: patient and physician considerations","volume":"4","author":"P S Yamauchi","year":"2010","journal-title":"Patient Prefer Adherence"},{"issue":"06","key":"ref44","doi-asserted-by":"crossref","first-page":"e2075","DOI":"10.1097\/GOX.0000000000002075","article-title":"Role of ancillary procedures in facial rejuvenation","volume":"7","author":"R J Rohrich","year":"2019","journal-title":"Plast Reconstr Surg Glob Open"}],"container-title":["Facial Plastic 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