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What Would an Endoscopic Mid-face Lift Correct?

I understand that they place some of the incisions inside the mouth and above the ear. Will this endoscopic mid-face lift help jowls?

Asked 28 months ago by caesarboy in southn Florida

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face jowls

Goals of Midface Lift

The midface lift is used to improve the area beneath the eyes, from the lower orbital margin to the corner of the mouth. It does little or nothing for the jowls. There are many techniques used to achieve this lift; endoscopy is one of them. Your surgeon should explain the advantages and disadvantages of each.

Doctor's Website

Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

MIdface lift usually does not help jowls

As an experienced endoscopic mid-face lift surgeon, I can say that in most cases it does not affect the jowl area. The primary areas affected are the periorbital (around the eye) and cheek areas.

Sam Most, MD

Bay Area Facial Plastic Surgeon

Midface lift

An endoscopic mid face lift is designed to specifically address your cheeks, nasolabial folds, and to some degree, the area below your eyes. It is an effective procedure under the proper circumstances, but, the procedure does have potential complications you will need to ask your surgeon about. Unfortunately, the lower face (jowls) will not be modified by mid face procedures and you will need a mini or full facelift for these areas.

Philip S. Schoenfeld, MD

Chevy Chase Facial Plastic Surgeon

Mid-face lifts do not correct jowls

Endoscopic midface lift corrects the decsent of the malar fat pad and improves nasolabial folds. This returns volume back to the cheek prominence. I would not expect improvement in jowls with this operation. Jowls are in the lower face. Correcting jowls would require some type of facelift (not a midface lift).

Timothy Wilson, MD

Knoxville Plastic Surgeon

ASAPS ASPS

Midface Lift and Jowls

A midface lift is designed to lift the malar fat pad (cheek pad or tissues of the midface) to a higher position. It does not impact the jowl area or the neck. see video

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Midface lift provides minimal help for jowls

Endoscopic midface lift will re-suspend the cheeks up to a higher position, which will only minimally help the jowls. Jowls are best addressed through comprehensive face/neck lift, which addresses both the jowls of the neck, excess fat above and below the platysma muscle. A face/neck lift also involves tightening of the platysma muscle in the front and the back portion of the neck, and in front of the zygomatic arch along the cheekbone.

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William Portuese, MD

Seattle Facial Plastic Surgeon

Endoscopic Midface Lift for Jowls

Ah, I love to hear of surgeons trying to make something simple really difficult. Okay a midface lift is very straightforward via many different incisions. Using endoscopic equipment turns a simple operation into a technology cumbersome exercise. But I digress. The simple answer is no, a midface lift will not adequately correct jowling. Jowling is due to descent of the SMAS or superficial muscular aponeurotic system. This is a relatively superficial layer of tissue under the skin. A... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Endoscopic midface lift

The jowls may be helped with a midface lift done endoscopically. However, you may need some aspect of a regular facelift that actually removes excess skin and allows access to the tissues underlying the jowls so that the jowls can be maximally lifted. Check out some before and after photos of facelifts to be sure that you're comfortable with your choice of procedures. Good luck!

Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon

ASPS

Endoscopic Facelift Face Neck Rejuvenation

Question: What would an endoscopic mid-face lift correct? Answer: An endoscopic mid-face lift is employed to elevate the malar (cheekbone region) and sub-malar (mid-face sagging depression) regions. In selected cases, this procedure is useful. More often, however, the lower facial jowl sagging and the neck soft tissue sagging is of greater importance in corrective face/neck rejuvenation procedures. The endoscopic mid-face lift may be a useful adjunct. However, well-performed face/neck lift... more

Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon

Mid face lift.

Hi! The mid face lift is a great operation but it will not correct jowls or a loose neck. It lifts the corners of the mouth, the cheeks, and the lower eyelids.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Minimally invasive Mid-face lift with Endoscope

As others have already pointed out, a mid-face lift does not address the lower face or jowls. A traditional face lift, or variation, will help treat the jowl area and neck. Mid-face plastic surgery helps rejuvenate the nasolabial fold, midface volume loss, and tear-trough deformity, and nasojugal fold of aging. The mid-face is the cheek area from the lower eyelid to the lower jaw. As with other facial areas, there is loss of volume and sagging tissue in the mid-face which results in an aged... more

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Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

Mid Face Lift- What does it correct?

The endoscopic midface lift is designed to reposition and lift the soft tissues of the cheek back up toward the cheek bone. This helps to soften the nasolabial folds. However, to improve the jowls and neck, a facelift is required. Some facelift techniques will correct the mid face and lower face in the same operation without the need for a endoscopic midface lift. Also, it is important to note that in many cases volume augmentation (fat transfer) is required to restore the mid face... more

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Amir M. Karam, MD

San Diego Facial Plastic Surgeon

Yes

The midface is located between the lower eyelids and the lower jaws. Lifting of the midface will elevate the cheek fat pad to plump up the cheek bones and treat the jowls. The nasolabial folds may also be improved.

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Mid face lift isnot indicated for most patients

Endoscpoic mid face lift is a not indicated in most cases. The risks and complication does not justifies this approach. The other issue is the long recovery and persistant swelling due to intruption of the lymphatics. The incisions are hidden and also require intra oral incision.

Kamran Khoobehi, MD

New Orleans Plastic Surgeon

ASAPS ASPS

Endoscopic Midface Lift

The mid face lift is designed to rejuvenate the area under the eyes, the cheeks, and the upper lip. Advantages: Adresses an area not touched by the typical facelift No noticeable scars Most people look at your eyes, not your jowls Disadvantages: Doesn't do much for the jowls Doesn't do anything for the brows and upper eyelids, which people do look at. Alternatives: Fat transfer to the midface. Endoscopic midfacelift works best in conjunction with an endoscopic forehead lift. more

Ricardo Rodriguez, MD

Baltimore Plastic Surgeon

ASPS

Goal is to improve mid face (sagging cheeks and naso labial folds), mild improvement in Jowls

The goal of endoscopic mid face lift is to use small incisions and micro instruments for lifting of the cheeks and nasolabial folds. This is a surgery that is only effective when performed correctly. All the facial attachments need to be released without damaging the important surrounding tissues. Make sure your main issue is the mid face. If you are concerned about your jowls then the procedure of choose would be a High Extended SMAS Facelift or deep plane face lift with fat transfer to... more