Volumetric facelift with intra- and post-operative midface volume replacement "the four-dimensional facelift".

Cosmetic rejuvenation of the lower face can be accomplished effectively with facelift surgery; however, aesthetic outcomes are significantly improved when surgical traction combined with midface volume restoration is achieved and perpetuated. Incorporating the current understanding of the evolving process of facial maturation, this article puts forth an approach to full-face rejuvenation involving the continued treatment of the facelift patients with injectable filler materials for years after the surgical procedures. Beyond a three-dimensional approach, this "four-dimensional" method can achieve persistent, effective, natural-appearing outcomes that can be maintained successfully and dynamically over time.