The lower lid-cheek junction and the nasolabial folds are probably the two major stigmata of the aged face. Over the past two decades the use of the transtemporal approach has gained wide popularity to rejuvenate the midface and the lower eyelid-cheek junction. Primarily due to its reliable and reproducible results and limitation of the morbidity related to the open approaches. A thorough knowledge of the anatomy is of paramount importance to safely release all the fascial attachments while avoiding injuries to the facial nerve. The authors discuss their surgical technique in detail, the post-operative care and possible complications.