Glenview Cheek Lift doctors
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Adam J. Cohen, MD
Chicago Oculoplastic Surgeon
4709 Golf Road 12th Floor, Skokie |
2 answers | |
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Laurie Casas, MD
Chicago Plastic Surgeon
2050 Pfingsten Road Suite 270, Glenview |
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Peter D. Geldner, MD
Chicago Plastic Surgeon
680 N Lake Shore Dr Ste 1325, Chicago |
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Steven Bloch, MD
Chicago Plastic Surgeon
1160 Park Avenue West Ste. 2E , Highland Park |
Recent Answers
What is a midface lift? How is that different from a regular facelift or a mini face-lift?
A midface lift, also called, midface suspension, meloplication, or SOOF lift (a less comprehensive procedure) elevates and tightens the skin and underlying cheek tissues. By elevating and tightening the cheek structures, the lower eyelid and cheek will have a more youthful, fuller appearance with reduction of under eye hollowness (tear trough deformity) and excess skin, and softening of the folds between the cheek and nose (nasolabial) folds.
The midface lift can be performed through incisions at:
1- the lateral canthus (outer corner of eyelids)
2- the front (transcutaneous) or back of the lower eyelid (transconjunctival)
3- the inside of the mouth behind the upper lip(buccal) or
4- the hairline (temporal area).
The approach to surgery will depend on the surgeon’s comfort level with a particular approach, the reason for the lift, and desired end result. In some cases, the surgeon may use a tiny camera called an endoscope to guide them through the surgery.
Once the cheek has been freed and elevated, several techniques are used to secure or anchor the cheek tissue to prevent it from sagging. Some surgeons will use suture material to suspend the cheek tissue while others utilize resorbable anchors, such as Endotine B or ST suspension devices.
The less comprehensive SOOF procedure, elevates and re-positions the tissue at the eyelid and cheek junction (under eye area) to give a smoother and supple appearance to this area. It is used in conjunction with lower eyelid blepharoplasty and during reconstructive procedures.
There are advantages and disadvantages to each approach, suspension technique and device. These should be discussed with the surgeon.
I had an aggressive lower blepharoplasty with excessive fat removal. I am now considering a Lower face lift/Neck lift and the surgeon wants to raise the cheeks as part of the lift. I understand this will give me more volume up to the orbital rim, but my hollowness is above the rim.
Given the extra healing time, would I not be better skipping the Cheek lift and treating the lower eyelid with fillers or fat? Thanks
A midface or cheek lift is an effective technique when performed alone or in conjunction with other procedures to reduce lower eyelid hollowness.
Several different techniques for midface lifting exist, albeit an eyelid approach will offer maximal improvement of lower eyelid hollowing and smoothing of the eyelid-cheek junction. The eyelid approach can usually be performed through a small incision at the outer corner of the eye. The remainder of the incision is hidden on the inner aspect of the eyelid, unless lower eyelid skin needs to be removed. Sometimes an incision in the mouth at the gum line is used to help re-position the cheek.
Elevation of the cheek will result in upward movement of the underlying fat towards the lower eyelid area. The fat can then be positioned to soften the eyelid cheek junction, and restore fullness of a hollowed lower eyelid. In some instances fat grafting to the lower eyelids is also performed for maximal improvement.
The patient should remember that lower eyelid hollowing can be due to a deficiency of the cheek and orbital bones and not fat. In this instance an implant may be placed underneath the lower eyelid or cheek to improve the hollowed appearance.
Adam J. Cohen, MD, FACS