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Best Kind of Facelift for Mid-face Area?

What is the best kind of Facelift for the mid-face area? I'm thinking about getting a Mini Facelift. I'm 54, but I happily don't really look my age (good genes, never smoked, etc.). My forehead is very smooth, no lines to speak of, but my middle face (eyes to chin) does look a bit tired. I'm thinking that a Midfacelift, plus a dermal filler for lines on the corners of my mouth, would be enough. But what kind of mid-face lift is the best? Thanks for any advice you can offer.

Asked 34 months ago by radioflyer in MO

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chin eyes

"Best" facelift The facelift that will get the best and...

"Best" facelift The facelift that will get the best and most natural result is probably not a mini-facelift. Inherently, the minimal undermining that goes along with a minilift does not allow proper youthful reconstruction of the cheek area. The tension placed on a minimally undermined area pulled tightly also inherently produces wide scarring. There are many types of cheeklift, all accomplishing different goals. We have several articles below on the topic you may wish to read... more

Doctor's Website

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

This is a much more complex question than you realize....

This is a much more complex question than you realize. In face lift studies on identical twins, I was able to show that a variety of techniques can provide excellent results. Plastic surgery must be individualized to the particular patient and you should discuss your goals with your surgeon. While there are a variety of incisions and techniques available, you should be trying to achieve the best result possible with the least risk. There are patients younger than you who may need a more... more

Darrick E. Antell, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Midface lift and fillers

You may be correct in your assumption that you need a midface lift and filler, but it is hard to say without an exam. I get great midface lifts with high SMAS technqiues.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Address with the best facelift surgeon and ask direct questions

Every individual presents with different aging changes to the face and overall anatomy. There are a number of elements that impact on the decision as to which procedure, which therapy would be the best in resolving the changes of aging. Midfacelift type procedures aspire to improve reduction of the laugh line or nasolabial fold, improvement of the cheek prominence and reduction of the lid/cheek length or elongation of the lower lid gauntness. In expert hands a midfacelift can provide... more

David Q. Santos, MD

Seattle Facial Plastic Surgeon

Best Facelift For Mid-Face Area

Their are a variety of facelifts, many with variable effectiveness on the midface area. Often times, surgeons can work with your existing anatomy to determine the right lift or procedure to help rejuvenate your face.

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Optimal mid-face lift

Mid face lift is not one procedure. The area of the the face called mid-face can be corrected in number of ways, some with incisions in the skin some with endoscopic approach. The field of facial surgery is full of gimmicks and sub-par procedures. An experienced and expert facial rejuvenation surgeon will carefully assess each patients individual anatomy and aging process to design a unique surgical approach. Only in this fashion can a beautiful, dramatic, natural and lasting... more

Boris M. Ackerman, MD

Newport Beach Plastic Surgeon

ASPS

Midfacial rejuventation options

The real answer to your question depends on your anatomy. Everyone is different. I have a wealth of experience with midfacelift and love the procedure for the right person, but if your not the right person you can be disappointed. You need to first determine what the exact issue is that's bothering you and then determine which options are best for you. Best of luck.

Jason B. Diamond, MD

Beverly Hills Facial Plastic Surgeon

Therer are many options for the midface area

A midface lift entails lifting the cheek or middle part of the face so that the folds around the mouth are less pronounced and the cheeks are elevated in a more pleasing manner. Personally, I don't think midface lifts really make a person look younger in this area. The problem with the midface area is that when people age, they lose volume in this area and really you need to revolumize the midface to help someone look younger here. Facial implants in this area can help as well as fat... more

Philip Young, MD

Bellevue Facial Plastic Surgeon

Go to the very best plastic surgeon and ask for their advice

This is no time for a discounted plastic surgeon. This is your face! Go to the best you can find and ask them what they would advise. Look at photos of their patients who started somewhat like you and see if you like the results you see. Then proceed.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Liquid facelift is an excellent option for midface lift

From your description it sounds as though you want fuller cheeks and improvement in the nasal labial fold and mouth region. Traditional face lift or cheek lift can give you an excellent result when done by an experienced board certified plastic surgeon. However surgery does leave scars and recovery is required. Honestly, even the best facelift, after time does allow some recurrant laxity in the area around the mouth. While the forehead, jawline, and neck often retain excellent tighteness... more

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Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

The key to the midface isn't a lift...volume is the key.

Obviously without seeing you face I can not begin to tell you what you need, but if the lower eyelid and cheek region is to be rejuvenated I believe the solution is volume and not a lift. I have done deep-plane facelifts, subperiosteal endoscopic midface lifts etc. None of them hold up and none provides the kind of improvement that volume does. I usually use autologous fat to rejuvenate the midface because of the natural appearance, versatility and longevity. (Don't let anyone tell... more

Edward Buckingham, MD

Austin Facial Plastic Surgeon

Scarless mid facelift through the mouth.

Hi! For sagging and "emptying" of the central face, I use a deep mid facelift that is done through short incisions inside the hair in the temples and inside the upper lips. This procedure moves the sagging volume up, and can make people look much younger without any visible scars. And this mid facelift specifically lifts the corners of the mouth. This operation alone will not correct significant jowls or a hanging neck.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Treat all areas surgically & forget the fillers.

Terminology for the different methods of rejuvenating the face, including the central facial area, varies. Also, not all “mini-facelifts” are equal. The use of a “mid-facial” procedure was developed because the usual facelift did not address this area well. In order to treat this area, one must deal with the lower eyelid and the cheek. When doing a SMAS type facelift, the cheek can not be elevated directly because of the anatomy. Most “mini-facelifts”... more

Robert T. Buchanan, MD

Highlands Plastic Surgeon

ASAPS ASPS

It is difficult to tell without seeing your face

If you feel that the area around your nose and mouth needs improvement, volume loss is typically the culprit. Minimally invasive techniques using fillers and fat grafting can work nicely to fill back up what time has taken away. Occasionally, facial implants are necessary to add permanent volume. Midface lifts are usually performed through eyelid, mouth, or hairline (endoscopic) approaches. They are designed to reposition saggy cheek skin only. The problem lies in the fact that they are... more

Manish H. Shah, MD

Denver Plastic Surgeon

ASAPS ASPS

Forget the name and go to a good, experienced surgeon.

There are so many variables to consider that the best answer is to forget about names and see an experienced surgeon who can advise you about the pluses and minuses of various procedures as they pertain to YOUR face.

Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

It's the anatomy, not the name that is important. What...

It's the anatomy, not the name that is important. What you call the surgical procedure is less important that what is actually done. It is important to understand anatomically why you look tired in the midface. It can mean loss of volume, sagging skin, poor quality skin, or even some aspect of your native anatomy. Once you determine what is going to make you happy interms of appearance, a surgical plan should address the anatomical changes that are necessary. A surgeon can only decide on... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

First of all, you have to be careful with the...

First of all, you have to be careful with the terminology. "Mini-lifts" are not created equal, often mini-lift means mini result, even in the relatively young. For the high midface region (from lower lids to upper nasolabial creases), I almost entirely abandoned midface lifts use facial fat grafting instead. Combining fat transfer with a fast-recovery facelift has been a great procedure choice for many patients. I certainly would recommend to talk to an experienced facelift surgeon... more

Doctor's Website

Frank P. Fechner, MD

Worcester Facial Plastic Surgeon

There is no "one best". The decision is based on the patien

There is no "one best". The decision is based on the patient's goals, desires, and physicla exam. I would recommend a mini (cheek) over a lifestyle lift due to longevity issues, and the fact that the scars are about the same. Get an exam by a board certified plastic surgeon, and get all the facts as they relate to your case, and make an informed decision. sek