[Multiple-layer composite rhytidectomy].

[OBJECTIVE] The multiple-layer composite rhytidectomy is presented in this paper for correction of the facial aging.

[METHODS] The operative procedures include multiple-layer dissection, suspension reconstruction of the zygomatic ligament, and thinning of the zygoma.

[RESULTS] The method has produced a good result in 28 patients since 1993.

[CONCLUSION] Study of clinical cases and cadaver dissections had led to better understanding of the aging face. With advancing age, all tissues of the face lose their balanced relationship. These changes occur in their volume shape, position, and consistency. With the multiple-layer dissection and suspension, the soft tissues of the check, forehead, nasolabial fold, lateral canthus and eyebrow can be lifted to reestablish their previously youthful relationship with the underlying skeleton.