Aim: With the normal aging process, the malar fat pad descends vertically, causing a number of characteristic changes to the face. Various techniques have been used to correct ptosis of the malar fat pad.Methods: The authors describe a technique that is minimally invasive and can be used to correct malar fat pad ptosis. This technique uses a suspension suture to elevate the malar fat pad to a more youthful position. The technique has been successfully used in 71 patients. Results: All of the cases were performed in the office setting under local anesthesia. There were no complications, and, by patient self-report and physician exam, results have been lasting and satisfactory. Conclusion: The minimally invasive midface suspension is a safe and successful approach to midface rejuvenation in properly selected patients.