Elevation of the malar fat pad superficial to the orbicularis oculi muscle for correction of prominent nasolabial folds.

The technique of elevation of the midface malar fat pad for correction of prominent nasolabial folds is described as part of the multiple vector facelift operation. Facial anatomy of aging, indications for operation, patient selection, postoperative follow-up, and complications are reviewed. Early postoperative and 3-year follow-up photographs of representative younger, middle-aged, and older patients are shown.