Multiple-tiered deep support of cheeks in meloplasty and rhytidectomy.

Maintaining satisfactory long-term results in a face-lift on an aging face is an important aspect of facial plastic surgery. While undermining and support of the SMAS in the posterior cheek has achieved recent popularity, plication of the fascia in the cheeks has been at least equally effective and safer. Variations of this technique have been used for 30 years with satisfactory results.