Scarless mid facelift through the mouth.

George J. Beraka, MD answers: Best kind of facelift for mid-face area?

What is the best kind of Facelift for the mid-face area? I'm thinking about getting a Mini Facelift. I'm 54, but I happily don't really look my age (good genes, never smoked, etc.). My forehead is very smooth, no lines to speak of, but my middle face (eyes to chin) does look a bit tired. I'm thinking that a Midfacelift, plus a dermal filler for lines on the corners of my mouth, would be enough. But what kind of mid-face lift is the best? Thanks for any advice you can offer.

George J. Beraka, MD
11 months ago

Hi! For sagging and "emptying" of the central face, I use a deep mid facelift that is done through short incisions inside the hair in the temples and inside the upper lips. This procedure moves the sagging volume up, and can make people look much younger without any visible scars. And this mid facelift specifically lifts the corners of the mouth.

This operation alone will not correct significant jowls or a hanging neck.

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A: This is a much more complex question than you realize....

Darrick E. Antell, MD
11 months ago

This is a much more complex question than you realize. In face lift studies on identical twins, I was able to show that a variety of techniques can provide excellent results. Plastic surgery must be individualized to the particular patient and you should discuss your goals with your surgeon.

While there are a variety of incisions and techniques available, you should be trying to achieve the best result possible with the least risk. There are patients younger than you who may need a more involved operation, and there are patients older than you who may need less. The elasticity of your skin needs to be evaluated, your health history, smoking, lifestyle etc.

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