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Where is a Mini or Midface Lift Anchored? Is the Tissue Sutured Under the Eyes or Near the Ears? A Surgeon Once Warned Me Away

from this procedure because she said it pulled on the lower eye lids.

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incision placement sutures

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14 Doctor Answers | Asked by lillyming

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Mini or mid face lift mystique

I believe some background information is necessary so that you can better comprehend this answer. In general, a facelift (aka rhytidectomy) is a surgical procedure to treat sagging skin and soft tissue of the face and neck. Classically, this is performed through access incisions that are strategically placed to hide the resultant scars, so that underlying soft tissue can be elevated in a more youthful location, sustained with support sutures, and excess skin is then removed when necessary.... more

Best Suturing for Midface Lift also called Suspension Cheek Lift

A midface lift is sometimes called a suspension cheek lift. This is because it is anchored above the cheeks, lateral to the eyes, in the temporal region. Specifically, it is most commonly anchored to the temporalis fascia. Because this is some distance away from the eyes, if this procedure is done well, it rarely causes any pull on the lower eyelids. It may improve the position of the outer eyebrows by elevating them along with the cheeks - often this is a very nice added benefit rather... more

Where is a Mini or Midface Lift Anchored

A “mini” or “mid-face” lift is a very nice procedure for the perfect candidate, and not all patients are good candidates for this. When I perform “mini-rhytidectomy”, the procedure in no way pulls the lower eyelids down, so I’m unsure what your surgeon was referring to. Jonathan Ross Berman, M.D. , F.A.C.S.

Jonathan Berman, MD

Palm Beach Plastic Surgeon

www.drberman.com

Midface Lift vs MiniFace Lift

Midface lift implies lifting the midface or cheeks and this is probably what was meant that was anchored under the eyelids. A minifacelift can mean anything but in general produces mini results.

Anchoring the Elevated Cheek Tissues

Lillyming, your question is an excellent one and asked at the right time. Your Plastic Surgeon definitely gave you sound advice when she warned you away from a procedure which anchors the cheek at or near the lower eyelid tissues. If you had'nt heeded this advice we would be discussing the complicated problem of repairing a distorted and scarred lower lid. Anchoring the cheek is usually necessary to improve the longevity of the lift. There are many ways to accomplish this without... more

Paul S. Howard, MD

3 reviews

Birmingham Plastic Surgeon

Mini and Mid Facelifts

The terminology about facelifts is somewhat confusing. A facelift, including a mini-facelift, really concerns the lower face and neck. Some mini lifts really do very little to lift these areas. Others, like the MACS lift or Today's Facelift use many of the techniques of a mini facelift, but provide full correction and long lasting results. A mid facelift is a designation of a procedure done in the mid face to lift the central cheek and lower eye area. The first methods did cause pull on the... more

Where is a Mini or Midface Lift Anchored? Is the Tissue Sutured Under the Eyes or Near the Ears? A Surgeon Once Warned Me Away

I have performed Facelifts for 25 years and they should not employ suspension "anchor" sutures IMHO as these do not hold up. Face Lifts, including our minimal incision Face Lift "Celebrity Facelift" should have the following characteristics to be effective: There must be an incision that contours around the front of th ear allowing the removal of excess skin. The underlying SMAS layer must be dissected, lifted, trimmed and re-sutured instead of merely folding or... more

Midface Lift

There are a number of techniques that are tailored to the needs of the specific patient.

Anchor Point for Midface Lift

The anchor point for a midface lift will depend on the technique used by your surgeon. Lower eyelid distortion is a possible complication so select a surgeon experienced in this operation.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Where is a Mini or Midface Lift Anchored?

For any lift procedure, anchor points are key to improve the results and avoid distortion of facial structures. The anchor points has to be tough facial tissue. Frequently multiple anchor points are used for better disrtribution of skin tension. If lower eyelid approach is used and a blepharoplasty is planned then canthopexy is key to prevent pulling of lower eyelids. Additional anchor points are lateral orbital rim, temporal area and fascia in front of the ear.

Midface Lift Tissue Suspension/Fixation

Your question is most likely directed towards the midface or cheek lift procedure. This is a very technique sensitive operation that is done primarily through a lower eyelid incision and the key is fixation of the lifted tissues. Lower eyelid distortion is its most common problem and there are many ways and tissue points which surgeons achieve anchorage of the lifted tissues. My preferred location is a cranial suspension point, away from and well above the eye area.... more

Mini or mid facelifts

Mini- and mid- facelifts are quite different. Mini facelifts achieve minimal results because very little is done and fixation - if any - is, well, mini. Patients love to hear about mini facelifts because it promises something for nothing, or at least for less. Who wants a big operation when a little one will do? But, would you have a painter do a mini paint job on your house or a mechanic do a mini service on your car? Thought not. Rant over! Mid face lifts are directed towards the front... more

Where is a Mini or Midface Lift Anchored? Is the Tissue Sutured Under the Eyes or Near the Ears? A Surgeon Once Warned Me Away

Many surgeons, myself included, are performing fewer and fewer midface lifts due to prolonged swelling and potential distortion of the eyes. In office filler treatments or fat transfer has largely replaced this approach. The cheek tissue can be anchored to the bone of the cheek or to the muscle and fascia in the temple. It should not pull on the eyelid. A mini lift is actually a minimally invasive facelift and different from a midface lift. Minilifts are performed to help treat jowls and... more

A midface lift is anchored to the tissue near your temple and should not affect the eyes typically

A midface lift is done in a variety of different ways and no single way is the absolutely correct way to do it. If the mid cheek tissue is pulled in the direction of your temporal area (the area above the ears and behind the hairline) and the fixation sutures are placed in the temporal area and not under the eyelids, it should not affect the eyelids at all. This is typically the way many surgeons approach the fixation of the midface.