The choice of approach for a mid facelift would depend on the specific needs of the patient and the surgeon's preference and expertise. However, in general, the approach through the lower eyelid may be more effective for patients with a negative vector. A negative vector refers to a drooping or sagging of the tissues in the midface that creates a downward slope from the cheekbone to the nose. This can result in a tired or aged appearance. To correct this, the surgeon would need to lift and reposition the tissues in the midface. An endoscopic mid facelift through the lower eyelid approach allows the surgeon to access and lift the tissues in the midface, repositioning them to a more youthful position. This approach also has the added benefit of addressing any undereye bags or sagginess, which can contribute to a tired appearance. That being said, both the temple and lower eyelid approaches have their benefits and limitations, and the choice of approach would depend on the individual patient's needs and the surgeon's expertise. It's important to consult with a board-certified plastic surgeon who can assess your individual needs and recommend the best approach for you.
Consider getting a cosmetic procedure. If you are looking for a more permanent solution, you may want to consider a cosmetic procedure such as a blepharoplasty, which can remove excess skin from your upper eyelid and create a more defined crease.