According to the author, suture elevation of the malar fat pad is a simple, safe, and reliable procedure to reestablish a youthful malar contour, shorten the lower eyelid, and improve the nasolabial crease. Access for incision placement may be prehairline, subciliary, or intraoral, depending on patient characteristics and the goals of surgery. Copyright © 2005 by The American Society for Aesthetic Plastic Surgery, Inc.