“The first chapter in this second volume introduces my vision of the ageing process in the midface and its surgical treatment. Many of the theories are similar to those of Giovanni, even with slight “differentiating traits”. One of the aims of this chapter, therefore is to show a different point of view on anti-ageing surgical treatment of the midface, i.e., the use of malar implants. Indeed, twenty years of work with malar implants has given me a great advantage in dealing with this technique and the rare complications that can arise. My fervent opinion is that the application of implants is extremely helpful and gives generous results in rejuvenation of the midface. In the past few years many papers have been published which implicate the loss of volume in these areas as being the fundamental cause of ageing. From this we can deduce that the addition of external volume, besides fat grafting, can in many cases represent an optimal solution for this problem.” Mario Pelle Ceravolo