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Endoscopic or Traditional Mid Face Lift for Cheek Lifting?

asked 2 years ago by zezeTHEONE in istanbul/turkey
Latest answer by Julio Garcia, MD
Question viewed 1,938 times
Tags: age 25-34, cheeks, face, female, sagging, endoscopic, hollow

I am 30 years old. I have sagging cheeks (not too much), hollow eyes. I decided to have endoscopic Midfacelift. One of the dr said to me, endoscopic mid face lift is not very successful, because face has not enough space to perform endoscopic procedure.

He believes that, with endoscopic surgery, there can not be much improvement about sagging mouth corners etc,(maybe he has a little knowledge or experience about endoscopic mid-lift.)

What do you think? For optimum results, must I have endoscopic or classical mid face lift? Mostly Dr.s dont advice to me classical Cheek lift, but why?

11 answers to Endoscopic or Traditional Mid Face Lift for Cheek Lifting?

What is the "best" midface lift!

Over the past 30 years we have developed several types of "minface" or cheeklifts. There are two basic types: 1. Thru the temple 2. Thru the eyelid Which of these is right for your situation is the key. Some patients only need a small amount of lift and have a normal lower lid without extra skin. I use a temple incision and endotine for this group. However, most have excess skin and or fat in the lower lids and in these patients I use a lid incision with a different endotine that... more

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

There is no such thing as a classic midface lift

When we say cheek lift, we generally mean a facelift not a midface lift. There are a number of midface procedures done through the open facelift. They are disasterous for someone your age. Virtually all of the involve lift the orbicularis oculi off the zygoma with causes nerve injury to the orbicularis oculi muscle of the lower eyelid. Then there are a number of midface procedures done through the temple. The risk here is that again the nerves supplying the orbicularis oculi can be harmed.... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Methods for cheek lifting

At 30 years of age there is not much sagging in the cheeks present. The mid-facelift whether done open or endoscopically tends to bunch up the cheek skin and make the eye smaller in appearance and Asian. The aging process of the cheeks shows a loss of volume of fat and a slight amount of descent of the cheeks. The descent of the cheeks is known as jowls and can be re-suspended with a traditional face-neck lift say at age 50. A much better alternative to the mid-facelift is a volumetric... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Cheek Lift Techniques

The procedure selected for a ckeek lift depends on the specific patient's goals. If the lower eyelids are normal, the lift can be accomplished through a temporal scalp incision (either using a direct approach or an endoscope). An eyelid incision is used when the cheeks have fallen significantly or lower eyelid improvement is needed. An Endotine device is used for fixation in both approaches. There will be little improvement in sagging at the corners of the mouth with either technique.... more

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

You might be better treated with soft tissue fillers

As some of the other answers point out, there are many ways to do a mid-face lift, though I am not sure what a "classic" mid-face lift is. I do mine in a sub-periosteal plane though a temporal incision. The youngest patient I have done was 42. I would think that your problems is more related to fat loss in the face. You do not mention if you have had significant weight loss leading up to this. With out seeing photos of you it is hard to know. I general I think that 30 is too young... more

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon

Endoscopic versus traditional nmidface lfit

I would agree with your statemet that the success can be related to the experience of the surgeon. However, there are many other factors including the method of fixation. In general, with the traditional approach, more rigid fixation is possible and therefore it tends to be easier to achiev a longer lasting result.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Midface Lift

Hi, An endoscopic mid-face lift is the right procedure for a droopy midface. The entire cheek and soft tissue of the midface must be lifted from the cheek bone and lifted up and outwards. The tissue is then sutured to the temporalis muscle in the temple area. If your droopiness is in the lower face then a lower facelift would be more appropriate. Best, Dr. S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Variations on mid-face lift

I am not sure what you mean by a "traditional" mid-face lift since there are so many different approaches. One of the early signs of aging is descent of the fat pad in the cheeks, with skin laxity coming later. The idea of the endoscopic approach is to reshape the cheek by lifting the fat pad without tugging on the skin. There are ways of doing this without the endoscope, though my vote would be for that technique in a young person like you. Alternatively, some people do very well... more

Richard Baxter, MD
Seattle Plastic Surgeon

baxterplasticsurgery.com

Endoscopic cheeklift

At your age, if in fact you have displacement of the cheek pad, it can be repositioned using either technique. The endoscopic approach does not involve and skin removal and at your age, there is likely no skin that needs to be removed, so the endoscopic approach for you might be a viable option.

Julio Garcia, MD
Las Vegas Plastic Surgeon

lvcosmeticsurgery.com

Endoscopic lift or traditional mid-face lift

In younger patients like yourself with similar complaints I do an endoscopic lift with mid face suspension. Using a small scope designed especially for this procedure, the surgeon lifts the facial tissues away from their attachments. The entire facial unit of skin, muscle and soft tissue is then lifted like a mask upward and laterally. This technique allows the entire face to be restored to it's early position before the aging process took place. The results give a natural look reminiscent... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

Midface lift versus fillers in young person

I prefer to treat the midface area with volumization - adding fat, cheek implant or fillers to the area - rather than surgical manipulation via midface lifting techniques. I have performed endoscopic and traditional midface lifting techniques in the past but found that the results from adding volume to the area are just as good or better and with less trauma. The fact that they can be reversible is an added safety feature as well. My suggestion would be to avoid a... more