The cheeks age by losing volume, not by vertical descent. For that reason, we do not perform a Soof lift, but place cheek implants to restore the lost volume. Cheek implants are placed through an intraoral approach under a brief general anesthesia as an outpatient procedure. An upper and lower blepharoplasty procedure can be combined with the cheek implants since they accomplished different goals.
jim183, In my opinion if you don't lift the SOOF during a routine lower lid blepharoplasty you are not going to give your patients as good as a result. The SOOF falls as we age and leaves the lower lid looking hollow so it stands to reason if you learn how to put it back where it was when you looked younger, you are going to look better! Trust your eyes and look at photos and make your own decision. I am quite proud that I invented this technique and I believe it will help if all plastic surgeons used this approach.