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Mid Face Lift or Cheek Lift for Laxity Under Eye?

To correct skin and muscle laxity under the eyes, which procedure has the least chance of changing eye shape? The mid face lift or cheek lift with skin removal? Thanks.

Asked 33 months ago by skintech in illinois

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under eyes sagging

Procedures for laxity under the eye

Either procedure has the potential to change the shape of your eye. However, this is not a very common event. To determine which procedure is best for you, you need to have a consultation with a surgeon who can work with you to make that decision based on your specific face characteristics and anatomy.

Deason Dunagan, MD

Huntsville Plastic Surgeon

ASAPS ASPS

Changing the shape of the lids in lower lid surgery

The problem with laxity in the lower lid is that it is usually necessary to tighten the lid into the bone rim (canthopexy or canthoplasty) to limit the risk of the eye pulling down in the result. This tightening can narrow the width of the eye and make you look Asian. These patients frequently say, "I wanted to look better, not different."

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Cheek implants may be a better option

A better option for not changing the shape of the eyes would be simply to place cheek implants to restore volume to the cheeks rather than trying to do a cheek lift. Cheek lifts and mid facelifts can change the shape of the eyes, making them smaller. This will not happen with a small cheek implant.

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William Portuese, MD

Seattle Facial Plastic Surgeon

Midface and cheek lift are the same procedures.

What you describe can usually be corrected with and lower lid blepharoplasty. A cheeklift is done when the cheek is sagging and we want to raise it. The safest procedure for not changing the lower lid position is a blepharoplasty done by a skilled surgeon.

Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

Both have the potential to alter the shape of the eyelid.

Dear Skintech Both of these procedures have the potential for altering the lower eyelid shape. The skin and lower eyelid muscle laxity are the results of the lower eyelid sagging. Tightening these structures by tighting the lower eyelid with a canthoplasty may actually make the lower eyelid position worse. A chemical peel of this area with Phenol 89% is sometimes very helpful to shrink eyelid skin without creating deep scar in the lower eyelid. In Chicago, Allen Putterman has done... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Changing the shape of the eye with face lift, mid-face lift, cheek lift, or eyelid procedure

In many ways these terms are used interchangeably. So it is difficult for me to recommend one over the other. The primary procedure which alters eye shape is called a lateral canthoplasty. This is a procedure where the outer corner of the eye is elevated to a new postion generally to achieve greater support to the lower eyelid. This is commonly performed in individuals who have a lax lower eyelid when either a lower lid blepharoplasty or cheek lift. The problem is that if you put any... more