The layers of facial soft tissue are supported in the normal anatomic position by a series of retaining ligament that run from deep, fixed facial structures to the overlying dermis that are separated into two types as defined by their origin, either from the bone (true ligament) or from other fixed structures (false ligament) within the face. In this article, the author assembled the following face-lift technique:1: Midface lift for improvement of prominent nasolabial folds. The zygomatic ligament should be released at the border line of the zygomatic arch and the dissection continued over the zygomatic muscle until the nasolabial fold. The deep temporal fascia flap is used as a new proper ligament for malar suspension setting a length of 6x2 cm.2 : The neck and cheek are lifted combined with SMAS and ligament. The buccal-maxillary ligament are oriented between of masseter muscle and buccal fat pad and advanced with the SMAS flap upper laterally, and the masseteric-cutaneous ligament are sutured at the medial border of the parotid gland, with a total four or five. Then, SMAS suspension can be added according to the conventional method.The results over 2 years confirmed that malar fat reposition and neck and cheek traction could continue and jowl and cheek line recovered compared with the conventional face lift.
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