Sagging of the middle part of the face can cause under eye hollowness, malar saging and deepening of groove on the sides of the nose and mouth. It can occur in the early forties.

A simple technique of lifting this malar pad of fat and repositioning it can improve the appearance dramatically. It can be performed surgically through an incision in the temple area or through lower eyelid crease at the time of eyelid surgery.

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