ABSTRACT

The subperiosteal techniques initially described by Tessier for the treatment of congenital craniofacial abnormalities have revolutionized the treatment of the aging face. Close to a decade after suggesting that rejuvenation of the cheek and forehead could be accomplished in a subperiosteal plane, Tessier published his landmark paper, “Lifting facial sous-perioste” in the French literature (1,2). Tessier advocated the subperiosteal approach as a method to treat early signs of facial aging in young and middle-aged patients. Adopting Tessier’s approach, Psillakis, Ramirez, and others refined the technique and demonstrated that the subperisosteal facelift could be applied across the full spectrum of facial aging (3,4).