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Midface Lift, Alternatives?

asked 11 months ago by jack321
Latest answer by Hannah Vargas, MD
Question viewed 356 times
Tags: male, sagging, alternative

I have sagging skin beside the nose as a result of another operation. On the picture I'm looking down so it's more visible. I've consulted with several surgeons but I don't like their suggestions: -minilift+smas:I can't hide the scar in front of the ear -macs:it can't really adress this area -endoscopic midface lift:too risky -threads:too much skin to pull -filling of the upper cheek: wouldn't help when looking down Maybe an endoscopic lift but not on subperiosteal plane but only smas?

7 answers to Midface Lift, Alternatives?

Midface droop

You have very valid concerns. I would want to know what the previous surgery was that resulted in skin sagging in the midface. Was there soft tissue removed? Also, have you had significant weight fluctuation in the last 5 years with recent weight loss? If you are concerned about scarring from a face lift, which I don't believe would address your problem adequately anyway, then you may want to consider medial submalar cheek implants which will replace volume and lift the tissue without... more

Edwin Ishoo, MD
Boston Facial Plastic Surgeon

Looking for face lift answers

Boy, this is a tough one for the simple reason that I just don't see anything that's capable of giving you a good result not including an incision, of some kind, around the front contour of your ears. The NLF and Jowls do contain excess fatty tissue that could be reduced locally with micro-liposuction and the cheeks can be shaped using fillers like Perlane and Radiesse with an incision but these won't tighten the SMAS. Here's the kicker, IMHO..... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Facelift Scars

A facelift does not leave obvious scars that have to be camouflaged! When done properly the scars are not noticeable. Look at before & after pictures with your surgeon. It may not be the procedure you choose, but the scars should not be the reason.

Melanie L. Petro, MD
Alabama Facial Plastic Surgeon

Mid facelift or alternatives

Based on your concerns I would suggest a combination therapy. Consider a subciliary approach (directly under the eyelashes) in combination with a midface lift to re-suspend the SOOF fat and SMAS in that region to the infraorbital rim. Also consider filler (juvederm, restylane) to the nasolabial fold, inferior to the fullness to efface (camoflauge) the area completely. If this is unacceptable to you, you might want to consider an Endo Brow approach in the lateral hairline,... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

Mid facelift or alternatives

First and foremost in a properly done facelift you should not have to hide any incision as it should not be conspicuous. The incision is made in the ear so it is placed in a position where it is hidden from the usual eye. An endoscopic browlift is an excellent procedure for lifting the cheek area if the surgeon does the procedure with a mid face suspension and undermines into the proper plane this procedure is done with minimal incisions hidden in the brow area. Your photographs only show a... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

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