Cheek Lift: Q&A
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I Am Considering a Cheek Lift/lower Eyelids Lift to Correct the Hollowness and Dark Shadows Under my Eyes? (photo)
I had a consult with an excellent eye surgeon who recommended a cheek lift procedure. An incision would be made right under the lashes on the outside of the eye. My concern is whether or not this procedure can result in pulling the lower lid down since the incision is made under the lashes? I already have eyes that show some white naturally on the lower lid and I am scared that I will only make it worse. I've heard about restylane for hollowing under eyes but I've heard that it could cause bulge
Update 4/26/12:
I've posted a picture and would like your opinion. I went for a consultation to a great Occular Plas. Surgeon who recommended a Cheek Lift to correct the hollowness under my eyes.I was concerned about ectropion and whether this is the ideal surgery for my eyes. I want to know if injections would be a better solution or should I get the cheek lift? I was told that I I don't have much fat near the orbital bone based on the exam.I am very unhappy and need to do something to improve my tired look.
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18 Doctor Answers |
Asked by
Lee9
+2
I personally think that most mid face surgery is a disaster.
I generally cannot advise primary mid face surgery for the type of issue you appear to have in the photo. Perhaps your surgeon will produce an amazing result. However, there are many unhappy mid face surgery patients. Fillers are a much safer way to accomplish improvement in this area. The challenge is the thin skin. Treatment here is fussy and often requires an adjustment. However there is no question that it is possible to accomplish results with the...
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Many options are available...
Without photos, you'll get many differing opinions on different possibilities. Having the photos will certainly help taper down some suggestions.
Whenever a lower eyelid skin incision is made, there is a possibility of lower lid retraction. However, in the hands of a skilled surgeon, with a good cheek lift, tightening of the eyelid attachments, these risks are minimized.
Having said that, in my practice, I haven't done a cheek lift in years. One reason is that even in...
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+1
Fat Grafting for under eye hollows and deflated cheeks
The primary aging change in the cheek area consists of a combination of deflation and descent of the cheek fat pads, creating a hollowed appearance below the lower lids and deepened nasolabial folds (oblique lines which extend from each side of the nose to the area beside the corners of the mouth). Descent of the midface/cheek fat pad can also contribute to the exaggeration of marionette lines and downturning of the corner of the mouth.
This aging change is significant, but is often not...
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Very Pleased with the Midface/cheek Lift with Lower Blepharoplasty/laser
I am one month post op from a mid-face/cheek lift, laser below my eyes to erase fine lines...
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Cheek lift for lower eyelid hollows
I avoid cheek lifts. I don't think they really work. IMO it is not the way you've aged and complication rates are high based on some recent scientific reviews. I like filling. There are some incision less face lift alternatives out there for you to consider. Fat transferring is another great option.
see video
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I Am Considering a Cheek Lift/lower Eyelids Lift to Correct the Hollowness and Dark Shadows Under my Eyes? (photo)
In our practice we offer lower eyelid surgery (blepharoplasty) for removal of fat pads under the eyes which can cause dark shadows. By removing the fat pads the skin lays down flat against the skin and the light is reflected and absorbed differently so the appearance of dark shadows is less visable. You can also use Sculptra to rebuild collagen in your cheek bones if you are not ready for a cheek lift.
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Cheek lift
In the picture presented it appears that there are herniated fat pads in the medial and middle compartments in the lower lids. The fat pads can be removed by transconjunctival blepharoplasty, which will give a nice new contour to the lower lids.
The aging process reduces the overall fat volume of the face and is best restored with small cheek implants, not a cheek lift.
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Cheek/midfacelift with Lower eyelid blending
The many good responces to this common problem are difficult to follow due to the descriptive terminology used. Over time the cheek and midface lift have come to mean the same thing. Lifting the cheek via a lower blepharoplasty incision is rarely done anymore due to the problems with the subsequent lower lid position, shape and the problem with lid paralysis due to the dfficulty suspending the cheek. There seem to schools of thought on this problem. There are the camouflagers (fillers,...
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I Am Considering a Cheek Lift/lower Eyelids Lift to Correct the Hollowness and Dark Shadows Under my Eyes?
From the photos, aesthetically speaking, the anterior portions of the cheeks are quite flat. There are some minor issues, with the lower eyes but this IMHO is secondary to the proper shaping of the cheek area if you want a naturally, more attractive face. Fillers or cheek implants would soften the entire face without a any type of Face Lift. Pulling the heavier cheek tissue upwards to fill in the tear troughs, IMO, is more likely to pull the much lighter lower eyelid...
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Options for dark lower eyelids and hollowness
You are experiencing one of the first and earliest signs of facial aging which is an ovalization of the orbital area causing a skeletonization of the lateral orbital rim along with a tear trough and a distinct line where the lower eyelid stops and the cheek starts. You appear to be young and I would suspect this condition runs in your family. There are several options for improvement of this zone. If it is your desire to avoid surgery then a trial of a filler is not...
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Cheek lift for hollowness
The most important photo to assess your situation is a lateral view. I suspect that you have insufficient support under your eyelid (i.e. negative vector). A cheek lift is, in my opinion, not the answer and is potentially problematic, if done from above. It depends on how the lift is anchored. I suspect that the bags are relative because of the lack of support. Injections are temporary and camouflage the problem and can be tricky. Depending on what your specific aesthetic goals are, I...
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Options for lower eyelid hollows
Incision below the lashes, called infraciliary incision, has a definite risk of pulling the lower eyelids down. If possible, the transconjuctival approach is safer. Fillers are another option which are safe if used conservatively. Consider seeing an oculoplastic surgeon.
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Cheek lift via lower lid incision
All surgery performed via the lower lid incision has the risk of ectropion. However, without photos, it is impossible to assess whether a cheek lift is the appopriate procedure for you or if other options, surgical or non-surgical would be available.Restylane is certainly worthwhile for many patients with lower eyelid hollowing, particularly in the tear trough area.
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Cheeck lift
As you can tell there are many personal opinions and stories of success with mif face lift through the lower lid. By the way one needs another incision in the temple, where the cheeck fat is sutured to the temporal fascia. The literature shows increased incidence of lower lid malposition after this approach. Although one can do a lid blepheroplasty and Tarsorrhaphy to support the lower lid and even reposition the lower lid to a better position since you already have scleral show...
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Baltimore Plastic Surgeon
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Lower bleph with cheek lift can give excellent results
There is a risk with every procedure including fillers. Take a look at my lower bleph and cheeklift pictures here on RealSelf to see what can be achieved. Did your surgeon show you before and after photos of patients with eyelids similar to yours that he/she corrected with surgery? If they are getting good results they should have good pictures to show you.
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Juvederm Ultra works well for under eye hollows if very carefully done.
Hi.
Cheek lifts with eyelid incisions have a fairly high rate of complications and we don't do them. If you really need a cheek lift, the safest way to do it is through the mouth.
see video
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Cheek lift and lower blepharoplasty.
A cheeklift done thru the lower lid can be done but I need to see photos to tell if that is what you need.
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Cheek lift and Eyelid Surgery, Facial fillers
Your concerns are very valid. With all lower eyelid surgery, there is always a risk for ectropion if not performed properly, especially if you already some white showing around your lower eyelid. Without seeing your pictures and doing a good exam, I'm guessing you may have some lower lid laxity that may need to be corrected. If you do, you will most definitely develop an ectropion.
Some people may require both surgery for the lower lid and mid face and fat grafting or fillers to...
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Lower eyelid bleph and cheek lift
Without an exam let alone pictures, its impossible to provide assessment and advise that is clinically relevant to you. However, a cheek lift or lower lid fat repositioning, you can achieve an excellent cosmetic result and if the lifted cheek tissue is properly anchored, the lower lid should not pull down but ectropion and retraction are always a risk in such procedures and should be discussed relative to your procedure with your surgeon. Normally soft tissue fillers for tear trough defect...
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