How Does a Midface Lift Work?
- Asked 6 years ago
Midface lift works by restoring cheek fullness
Using minimally invasive techniques with limited incisions, the droopy cheek tissue can be lifted up over the cheekbone restoring the more prominent youthful contour, improving the tear trough and bagginess of the lower lids, and softening the undesirable cheek fold. Incisions are typically hidden inside the mouth, between the gums and the lips, and in the temple. At times, when a lower eyelift is performed at the same time, the same incision may be used to perform a midface lift.
Subperiosteal midface lift
This is a deep technique of cheek lifting where all the tissue are lifted from the cheekbones and re-suspended in a higher place. Incisions are made inside the mouth and in the temple. It gives the most dramatic and long-lasting improvement, but there is also typically more swelling with this technique.
The SOOF (sub-orbicularis oculi fat) is an acronym for the fatty tissue of the uppermost part of the cheek, next to the fatty tissue of the lower eyelid. SOOF lift can be performed through the same incisions used for a lower blepharoplasty (lower eye lift) surgery.
Endotine midface suspension
This technique involves use of an absorbable implanted device that aids in maintaining the cheek lift. The device is typically used with the subperiosteal technique of cheek lifting. The device keeps the cheek in the lifted position for a longer period of time, allowing for a better long-term result.
For more information visit http://www.seattleface.com/html/cheek_lift.php
Dr. Sam P. Most discusses different midface lift...
Dr. Sam P. Most discusses different midface lift techniques and describes who is a good candidate for the procedure.
How a Mid-Face Lift works
The following is my opinion. I have lectured on this very point to plastic surgeons at international conferences. The Mid-Face Cheek lift is my favorite procedure due to its elegance and power in transforming the facial shape from aged deflation to curved youth. As we age,almost all of us lose facial fat. The pockets of fat in the face are not united, but rather separated by thin walls of collagen. As they go horizontally across our face in our youth, deflation results in the more vertical folds we see in age. High mid facial curves with a short lower eyelid vertical height is the characteristic of youth. The tightened flat cheeks and elongated lower eyelids of a face-lift that ignores the cheek lift is a sad sight to be hold!
So, the options for effective rejuvenation number 2:
1. Re-inflate each pocket of fat with a substance such as Sculptra, OR
2. If there is enough remaining fat in the fallen face, elevate the fat pads back to their original position through a Mid-Face lift.
Your question regards #2. I make incisions in the temporal (temple area) scalp and an incision inside the upper lip on either side of the mouth. Staying just on top of the mid face bones, the overlying soft tissue is re-suspended upward with sutures that dissolve in 6 months. The tissues heal to the bone in the elevated position and stay there until many years more of fat deflation occur.
My patients find this procedure to be not painful and extremely effective. The "downside" if there is one is that the cheeks swell creating a mildly "alien" appearance for a variable amount of time... usually less than 2 weeks. It may take up to a couple months before the patient feels comfortable with the results. By 3 months post-operatively, about 95% of my patients tell me it was the best procedure they have ever seen!
Recent Cheek Lift Reviews
Cheek Lift Photos
Cheek Lift options in Los Angeles
There are many options for cheek lifts; including cheek implants, cheek volume fillers, Ultherapy, and facelift options. An examination can delineate options.
Raffy Karamanoukian MD FACS
Mid facelift details
a mid-facelift repositions the cheek fat pad back on to the cheek bone. This is usually done from an incision in the lower eyelid and an incision in the mouth. A 3-D video animation of the procedure can be seen on my website plasticsurgerynorthwest.com
Midface aging and the midface lift
The midface is the area of your face from the lower eyelid to the jawline. Generally this entire area ages as a single unit causing flattening of the "cheekbones," lowering of the thin eyelid skin exposing lower lid and cheek fat bags, deepening of the nasolabial folds, formation of lines connecting the drooping corner of mouth to the jawline (affectionately known as marionette lines), and finally the unattractive "bubble" of tissue that slips over the jaw presenting in the neck and obscuring the natural jawline.
The modern Midface Lift is designed to reverse this process by elevating these tissues that have descended under the force of gravity back to a more youthful position restoring the cheek area to a youthful fullness, elevating the lower eyelid skin, flattening but not eliminating the nasolabial folds, removing the marionette lines and elevating the "bubble" above the jawline into its youthful location above the jaw into the cheek. This sounds like an extensive procedure but it is actually performed through small incisions hidden in front and within the ear. More importantly, it is done without pulling the skin so tight as to distort the normal facial features.
A midface lift puts the cheek back where it "used to be"
As we age the cheek descends with gravity, and a "lift" brings it back up higher onto the cheekbone. As the volume of the ckeek and the bone itself shrinks as we age, often volume enhancement is also needed for "full" correction.
Here are the basic steps for a midface lift which essentially resuspends the cheek into a higher position on the face (back to where it has fallen over time)
1. Anesthetize the patient and area
2. Make an incision in the temporal area
3. Make an incision in the mouth
4. Release the tissue of the midface from mouth to temple
5. Suspend the tissue of the midface with sutures
6. Close the wounds
Goals of Midface Lift
With aging gravity causes most parts of the body to sag. In the midface this results in decreased cheek projection, increased heaviness of the tissues below the cheekbones, and increased depth of the grooves between the nose and the corner of the mouth. Discuss the alternative techniques of a midface lift to reverse these signs of the aging process with your surgeon.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.