Are all midface lifts done endoscopically these days?

A mid facelift can be done endoscopically or open depending upon the surgeon’s choice. An additional procedure that works quite well for volumetric augmentation of the cheeks is a cheek augmentation procedure. Silastic implants are placed through a gingival incision to volumetrically augment the cheek... more

All midface lifts are not done endoscopically and there is no "standard of care" for techniques. I would be more suspect of someone who tells you that any particular operation needs to be done any particular way.  There are advantages and disadvantages to every technique and no specific... more

Looking at your photo, even with a slight smile, your cheek soft tissues are sagging. The good news is that you do not have jowls, or loose skin on the neck and it looks that you have good skin elasticity. I prefer to do a mid cheek lift via a small incision in the gum line just above the teeth. There's also a... more

There are really only a few ways to do a true midface or cheek lift. The "endoscopic" approach you mention is done through  small incisions hidden behind the hairline; 2 in the temples and 2 behind the hairline above the forehead. Through these incicisions sagging forehead and cheek... more

Midfacelifts are performed in many different ways. There really isn't a procedure that qualifies as the standard of care as with most facial plastic procedures. I prefer a midface lift via a percutaneous technique with gortex suture, however, endoscopic lifts are also commonly performed.

Most experienced surgeons are still using traditional open face lifting techniques. There are many complex reasons, but the most important are that traditional methods produce a more reliably excellent result and in my opinion  are safer. The open approcah allows for more accurate re-draping of the cheek... more

When you ask "standard of care" questions, it sounds like you are an attorney! That said, they are different techniques for addressing the same area, but with different goals (slightly).  Either may be appropriate given findings at exam.  For myself, I like the open approach for the... more

First and foremost, from you photo, you look like an excellent candidate for a mid face lift. You cheeks have fallen and you have developed a crease above your Nasolabial fold. You do not have jowling or loose skin in your neck. You still have fullness but it has migrated south. Doing a mid face lift will... more

Dear Asiangal First, it is important for you to understand that all midface surgery is so individualized that no one can exactly predict the outcome of the procedure. Essentially, it represents a type of surgical experiment. This means the potential outcome and your satisfaction are unknown and... more

In this day and age when patients and surgeons are looking for short scar incisions , endoscopic facelifts, brow lifts, breast lifts, and abdominoplasties are procedures that have been added to a plastic surgeons armamentarium.  It's important to know what procedures your surgeon feels comfortable with... more