Midface lifting is suitable for patients with loose skin tissue and bags under the eyes. Cut the skin horizontally 2mm below the eyelashes of the lower eyelid, and then pass through the orbicularis oculi muscle to the lower edge of the orbit. The periosteum of orbital margin was cut and separated from the surface of maxilla and part of zygomatic periosteum, down to 4cm. Be careful not to damage the infraorbital neurovascular bundle. After separation, the periosteum and soft tissue tightened upward, and the separated periosteum overlapped and tightened suture. The orbicularis oculi muscle flap was fixed and sutured to the lateral canthus ligament, and the skin was tightened and sutured.