Midface implants: surgical and nonsurgical alternatives.

The midface has suffered vigorous challenges in terms of rejuvenation techniques over the years. A variety of alternatives are available for facial skeletal and soft tissue volume enhancement. No technique is ideal in every patient. After a thorough facial analysis, the surgeon must consider the advantages and disadvantages of implant-based volume enhancement in the context of each individual patient to determine the most appropriate option. Computer modeling provides improved methods to assess volumetric changes to augment and restore the facial volume. It is our belief that the multiple planes of dissection offered by the midface also allow us to redrape the soft tissues 3-dimensionally and continue to offer the consistency and longevity with implant-based midface rejuvenation.