While early results with conventional facelifts and blepharoplasties are us
ually acceptable in the early period, many patients eventually develop unat
tractive and unwanted signs of the facelifted appearance. Composite rhytide
ctomy includes two distinct differences from conventional techniques; the v
ector for the facelift is superior-medial instead of lateral, and the lower
eyelid fat is preserved. The unfavorable signs of facelift surgery hollow
eyes, and the lateral sweep, can be corrected effectively by using these pr
inciples when patients undergo secondary facelift surgery.