Loss of facial volume, soft tissue descent, and decreased elasticity are considered the hallmarks of aging in the midface [1]. Modern techniques used to counter the effects of aging utilize a multifaceted approach as the standard of care, particularly in patients past the fourth or fifth decade [2]. By combining traditional rhytidectomy procedures with volumizing alloplastic implants, fillers, or fat transfer, surgical interventions appear more natural and aesthetically pleasing [1,3]. Over the past decade, new technological advances have been made in both surgical technique, as well as device technology to achieve more pleasing results. Alloplastic facial implants are now available to the surgeon in a wide array of shapes and biomaterials, ranging from the more traditional silicone varieties to the more modern high-density polyethylene implants produced by Stryker. MicroAire has released an array of Endotine® devices that utilize a multipoint tension...

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