Mid Face Lift or Cheek Lift for Laxity Under Eye?

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 some very nice work at firming this area with minimal alteration in the eyelid position. You might consider investing in a consultation with him to learn what he recommends for you.
Dr. Steinsapir

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.

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.