Fig. 14.

a, c Preoperative views of a 48-year-old patient. He demonstrates ptosis of the malar tissues, loose festoons, hollowing of the infraorbital area, lengthening of the lower eyelid, attendant tear-trough deformity, and nasojugal grooves. b, d Six months after a vertical upper-midface lift (SUM-lift) the nasojugal groove is reduced, the length of the lower lid is shortened, the festoon is removed, and the eyelid-cheek junction is enhanced to a more youthful position with increased malar projection