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Can a Mid Face Lift Also Improve Mild Skin Laxity Under Eyes?

I am considering a mid facelift and have a small amount of loose skin under my eyes. Would the mid facelift address this or would I have to have additional surgery for the under eye skin?

Asked 26 months ago by pam1970 in canada

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Midface lift for under eye skin laxity

I think a minimally invasive cheeklift would be just the ticket for your lower eyes. There are many types of cheeklifts. They all do different things. I have found the cheeklift that works best for lower eyelid eyelid skin excess is the minimally invasive cheeklift with an incision at the corner of the lower eyelid. In our practice we term this the USIC cheeklift (R). This elevates the cheek and tightens the lower eyelid skin. It does not touch the orbital septum, the layer that so... more

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Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Cheek Lift and Lower Eyelids

There are many techniques used to achieve a cheek lift, some include a lower eyelid blepharoplasty. Lifting the cheeks may actually increase the lower lid excess. It is a relatively straight-forward procedure to remove a small amount of skin or do a light chemical peel if necessary. It is difficult to tell from your pictures, but cheek augmentation should be considered as an alternative procedure.

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Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

Mid Facelift can wrinkle your eyes

Hi Pam, Your lids don't look bad at all but the photo you published is not an easy one to evaluate. In general your lids don't look too bad. You appear to have good bony support and most importantly, your midface does not look descended. Again, don't take my word for it on any of these details since I'm not seeing you in person. A properly done midfacelift will bunch up more skin under your eyelids (unless the midface gets pulled in a lateral direction -- which is not the direction that it... more

Ricardo A. Meade, MD

Dallas Plastic Surgeon

ASPS

Mid facelift improves lower eyelids.

Hi. 1) Here's a different opinion. The way we do it, a mid facelift can: a) lift the corners of your mouth, b) create fullness in the upper cheek (the "oggee" shape), and c) smooth out the transition between your cheeks and the outer part of the lower lids. I don't think you will need an additional lower blepharoplasty. 2) It's all a matter of how the mid facelift is done. We do it though the mouth.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Cheek lift and lower eyelid surgery

This is a great question, but one that is a bit hard to answer without knowing what type of cheek lift you are talking about. Cheek, or mid-face lifts can be done in many ways through many approaches, and will be called many different things. Here in Santa Barbara, my approach to the mid-face and cheek is through an incision just lateral to the lower eyelid margin. Through this incision, the cheek tissue is freed and elevated. With the raising of this soft tissue of the cheek, the lax... more

Adam David Lowenstein, MD

Santa Barbara Plastic Surgeon

ASPS

Midface Lift

Hi, Thank you for your question! Mid facelifts can be performed in many different ways. Usually when a mid facelift is performed, it will actually create more bunching of the skin under the eyes. Additional surgery, such as lower blepharoplasty would usually be necessary if you chose to do a mid facelift. There are also several laser treatments and peels that could help with the excess skin as well. Going by the picture you submitted, it does not appear that a mid face or any lower eyelid... more

Sam Speron, MD

Chicago Plastic Surgeon

ASAPS ASPS

You may need a lower eyelid blepharoplasty with your mid-facelift.

When your droopy cheek fat (malar fat pad) is lifted, this will result in excess skin in your lower eyelid area. This can easily be remidied with a lower eyelid skin-pinch blepharoplasty. This does not take alot of extra time, and will result in a pleasing lower eyelid appearance. I hope this is helpful for you.

Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

Midface lift and lower eyelid skin

The question you have posed is a good one. In certain cases depending upon how the technique for midfacelift is done, you might get some improvement in lower skin laxity; however, this may cause some additional wrinkling. It depends really on the vector or direction of the lift. Sometimes we do an extended blepharoplasty that can help both the midface and the lower lid laxity. Sometimes lifting the midface and redraping the skin toward the temple will improve the laxity and sometimes it can... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Midface lifts and lower lids

The mid-face lift is a wonderful procedure which will help to elevate your cheeks into a more youthful position. It can also be used to decrease the hollowness below your lower eyelids by elevating the cheeks in a superior direction. Unfortunately, this will cause some bunching of the lower lid skin and a very conservative blepharoplasty would likely need to be performed in order remove some of that excess skin. Your surgeon will be very careful in the amount of skin that is removed to... more

Philip S. Schoenfeld, MD

Chevy Chase Facial Plastic Surgeon

Midfacelift Can Worsen Undereye Skin

Once the midfacelift pulls up the cheek and nasolabial groove it can cause some more bunching of the skin under the eyelid. To avoid that problem you can get lower eyelid surgery (blepharoplasty) or laser resurfacing or a peel to tighten the loose skin of the eyelid. Regards

Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon

Prevent excess eyelid skin and lift the midface at the same time

I told the makers of the forehead Endotine device to make me one for the cheek. They did make one for the cheek and we televised this to Europe about 5-6 years ago. It worked very well. This is put in thru the eyelid incision and fixed to the bone. In this way the excess skin can be removed without making wrinkling of the lower lid skin worse. Besides lifting the cheek, tissue can be placed in the aging groove under the eye restoring a more youthful look.

Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

Midface lift lifts the cheeks and helps deep nasolabial folds

A mid-face lift is most commonly performed through an incision in the temple with or without an additional incision inside the mouth. The cheeks are separated from the underlying bone and suspended upward. Sometimes this procedure is done through the lower eyelid, but the complication rate is higher. If you push your cheek upward you will see that the lower eyelid skin also bunches up. A small amount of skin may need to be removed to reduce this bunching. This should be a conservative amount... more

Steven J. Pearlman, MD

New York Facial Plastic Surgeon

Mid face lifts and lower eyelid skin excess.

I concur with Dr. Aldea. Performing a mid face lift actually pushes skin into the lower eyelid area creating the illusion of excess lower eyelid skin as it gathers. For this reason, mid face lifts can be performed via a lower eyelid incision that will serve the dual purpose of allowing access for the mid face lift as well as an incision to remove excess lower eyelid skin. Of course a mid face lift can also be performed via many other approaches including a temporal, face lift or oral approach. more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Midfacelift and Lower Lid Skin laxity

Hi Pam, A mid-facelift should tighten your lower eyelid skin but invariably patients need to have a little skin removed under the eyelid with a skin pinch procedure. A skin pinch will remove the redundant lower lid skin and the tension of the midfacelift will hold your lower lid from pulling down. However, in your case I believe just a lower lid skin pinch will correct the skin laxity of the lower eyelid. In addition, you may need to have a lateral tightening of your lower lid to prevent it... more

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Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

Midface Lift may make your eyes worse

A mid-face lift will lift the skin and fat of your cheeks to a more youthful position. This may make mild skin laxity of the lower eyelids look even worse. Therefore, it is important to address this issue at teh same time. For mild skin laxity in a young patient, a medium strength chemical peel (like TCA) has very nice results. If there is more significant skin laxity, then this skin needs to be removed directly with a lower blepharoplasty.

Matthew Schulman, MD

New York Plastic Surgeon

ASPS

Mid face lift and lower eyelids

I agree with Dr. Aldea. I don't see significant aging in your face from this photo. I do see some laxity and perhaps small bags of the lower lids. I would recommend that you consider a blepharoplasty if this is a concern, over cheek lift.

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Difficult to determine the exact facial surgery for you

I agree with Dr Aldea's explanation, but from a very angled photo it is very difficult to really ascertain exactly the correct surgery you may desire. Go see 3 boarded plastic surgeons to discuss this issue.

Darryl J. Blinski, MD

Miami Plastic Surgeon

ASPS

A Mid Face lift will worsen skin laxity under eyes

A Mid Facelift will worsen lower lid skin excess. By bringing the cheek back up, the lower lid skin which appeared more or less smooth will now appear more crinkled. For this reason, we often have to do a skin only "pinch" lower lid Blepharoplasty in conjunction with a Mid Facelift. In your particular case, from the single photograph you submitted, I think a Mid Facelift is a bit of a drastic procedure. You have very mild signs of aging without a prominent nose to mouth fold. I... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Mid facelift and under eye skin

I see that you are getting different opinions here. I think that any mid face lift will cause more bunching of the lower eyelid skin unless a lower lid blepharoplasty is performed at the same time (which is often the case!).

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Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

Can a midface lift help the loose skin

From your picture, you do not appear to have a lot of loose skin. But it would be hard to say without seeing you in person. In general, a midface lift does not address the lower eyelid - procedures like blepharoplasty or cheeklift help with this.The best thing to do would be to see a Plastic surgeon in consultation to assess your individual anatomy and give you realistic expectations of what surgery can fix. He/she can discuss your options and help you have a better... more

Catherine Huang-Begovic, MD

Beverly Hills Facial Plastic Surgeon

Mid face lift unlikely to improve skin laxity under eyes

No, a mid facelift could potentially worsen the laxity underneath the eyes by pulling the cheek skin up closer to the eyes. Any excess eyelid skin needs to be addressed through a pinch technique on the lower lids. This is typically closed with either tissue glue or very fine sutures. Another alternative than the mid facelift would be cheek augmentation with Silastic cheek implants placed through the intraoral route above the upper teeth, onto the maxilla to augment the cheekbones.... more

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William Portuese, MD

Seattle Facial Plastic Surgeon

Facelift improves skin laxity under eyes

Uestion: Can a mid facelift also improve mild skin laxity under eyes? Answer: In viewing your photo, this does not appear to be obvious skin laxity under your eyes. If sufficient laxity is not present, attempts to remove or redrape skin of the lower eyelids could present problems that you do not want. A mid facelift can elevate your mid face and there are several approaches to do this. If there is truly excess skin of the lower eyelids, this can be managed at the same time as a mid... more

Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon

Loose skin under eyes

Hello, You would need additional surgery to address the issue with the under eye skin. From your photo, it appears there is a small amount of loose skin. A skin pinch may tighten the area under your eyes. I would need to see more photos to give the best advice. Hope this helps. Thank you, and best of luck. Dr. Nassif