The anterior extension face-lift.

[OBJECTIVE] To describe a face-lift technique with emphasis on extension of the temporal incision into the lateral orbital area. This modification serves several beneficial ends but must be used only in carefully selected patients. Gathering of excess skin in the lateral orbital area is prevented, eliminating the typical disparity between relatively tight lower and middle facial skin and flaccid upper facial skin, which is commonly seen after rhytidectomy. The anterior extension also helps to support the lower eyelid, which is helpful when lid laxity exists or when concomitant blepharoplasty is performed.

[SETTING] A private cosmetic surgery center.

[PARTICIPANTS] Thirty-five patients undergoing rhytidectomy (15 primary and 20 revision procedures).

[OUTCOME MEASURE] Patient satisfaction at 3 months after surgery.

[RESULTS] Thirty-four (97%) of 35 patients were pleased with their results.

[CONCLUSIONS] The anterior extension face-lift can provide excellent results in carefully selected patients. We have found this procedure to be especially helpful in patients undergoing revision surgery and in older patients with facial skin laxity.