The midface, in aesthetic and anatomic terms, is the part of the face from the lower eyelids to the upper lip. At first glance, it may not seem that there is a lot going on here. However, more careful analysis shows that aging in the midface is complicated and multifactorial. In addition, changes here play an extremely important part in the overall aesthetic changes of the aging face. The subtle but complex anatomical and functional issues of the midface have inspired a similarly complex web of surgical, non-surgical, and minimally-invasive treatments. This includes everything from the nearly ubiquitous Botox® Cosmetic and soft-tissue fillers, to less commonly performed operations like the endoscopic midface lift.
Of all the obsessive publicity and incessant attention surrounding Prince William and Kate Middleton, the most interesting item I’ve seen recently was about the Duchess of Cambridge’s nose. Apparently, according to the Transform Cosmetic Surgery Group, her nose was the most popular celebrity lookalike feature in the United Kingdom for 2012 (http://abcnews.go.com/blogs/entertainment/2012/12/kate-middletons-nose-wins-acclaim-and-envy/). The timing is curious since only a few weeks later the unveiling of the official portrait of Kate was met with widespread disappointment (http://www.dailymail.co.uk/news/article-2260655/Kate-Middleton-Rotten-official-portrait-Duchess-Cambridge-artist-Paul-Emsley-unveiled.html). To my eye, the portrait looks quite accurate in terms of facial proportions, coloring, and even expression . . . yet somehow it is not beautiful. Much more could be said on this topic, but we’ll leave that for another day.