Similar to allograft fascia implantation, Gore-Tex (or artificial dermis) implantation is also a rapid youthline surgery and requires making small wounds and a subcutaneous path at the lower eyelid. The primary difference is the use of artificial Gore-Tex (ePTEF) to replace autologous dermal fat or allograft fascia, which is trimmed, folded, and stitched into an appropriate size and shape, and then emplaced via an incision from the inner to the outer corner of the lower eyelid and fixated. This surgery should carefully evaluate the adequacy of the patient’s eyelid skin conditions, which otherwise are prone to give rise to skin sensitivity, redness, rigid texture, or implant extrusion due to thinly skinned eyelids or foreign body friction stimulus. Therefore, it is mainly applicable for patients who have thick lower eyelids or congenital youthlines. In recent years, due to the introduction of allograft fascia, Gore-Tex has been gradually replaced.