How many ways are there to do a mid face lift? How do you know which is best for you?
Answer: Different types of midface lifts or cheeklifts - pros and cons There are basically several types of midface lifts / cheeklifts. Each does a different thing. The cheek is the trickiest area on the face, and if incorrectly done, they can be a disaster. However, the aesthetic rewards are enormous in that the cheeklift is a powerful tool. There are the through the lower eyelid surgeries. These are best at smoothing out the eye-cheek junction. They are riskier if they violate the orbital septum. Our version is an ultrashort incision procedure that does not violate the orbital septum, the USIC(TM) cheeklift. Through the lower eyelid cheeklifts can be done at the suborbicularis level or the subperiosteal level. We believe the suborbicularis level (more superficial) is safer. We often combine the USIC cheeklift with LiveFill(TM) grafts to the lower eyelid, but very judiciously to minimize the chance of bulging. There are mini versions of these procedures, and maxi versions. Each has a place in the right patient. Cheeklifts can be performed through the temple / inside the mouth. These cheeklifts completely avoid lower eyelid problems, but also do not correct the eye-cheek junction. They can cause an increase in the intermalar distance, the distance between the cheeks. They can also cause a upward of "catlike" appearance of the outer eye. They are powerful in what they do and valuable in the right patient. Endotine type lifts are also cheeklifts. These can be performed through the temple. Hooks of self dissolving material are placed below the cheekpad, elevating it. Patients note sensitivity to the endotine devices or the fixation devices. Bunching in the side of the eye can be noted. An alteration in the distance between the cheeks can occur. Transconjunctival approaches. It is possible from the inside of the eye to elevate the cheeks slightly and to redistribute the fat from the lower eyelid. If the fat is redistributed, this requires that the orbital septum be violated (from the inside) to spill the fat our beyond the lower rim of the eye bone. Whatever the approach, experience experience experience is key! The lower eyelid is a very delicate structure and a conservative approach is best. The rewards are great. The pulled down look of the older blepharoplasties can be eliminated in most cases, and certainly prevented by using midface techniques. Almost always, the entire face must be considered, not just the cheek, because the cheeklift has effects on other areas of the face. A beautiful appearance of the lower eyelid area can be created that is simply not achievable with any other means. Bad lower eyelid surgery can generally be fixed nicely. Bad aggressive cheeklift surgery is often unfixable. You may wish to read the chapter we wrote in the plastic surgery textbook "Mathes" on midface lifts and browlifts.
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Answer: Different types of midface lifts or cheeklifts - pros and cons There are basically several types of midface lifts / cheeklifts. Each does a different thing. The cheek is the trickiest area on the face, and if incorrectly done, they can be a disaster. However, the aesthetic rewards are enormous in that the cheeklift is a powerful tool. There are the through the lower eyelid surgeries. These are best at smoothing out the eye-cheek junction. They are riskier if they violate the orbital septum. Our version is an ultrashort incision procedure that does not violate the orbital septum, the USIC(TM) cheeklift. Through the lower eyelid cheeklifts can be done at the suborbicularis level or the subperiosteal level. We believe the suborbicularis level (more superficial) is safer. We often combine the USIC cheeklift with LiveFill(TM) grafts to the lower eyelid, but very judiciously to minimize the chance of bulging. There are mini versions of these procedures, and maxi versions. Each has a place in the right patient. Cheeklifts can be performed through the temple / inside the mouth. These cheeklifts completely avoid lower eyelid problems, but also do not correct the eye-cheek junction. They can cause an increase in the intermalar distance, the distance between the cheeks. They can also cause a upward of "catlike" appearance of the outer eye. They are powerful in what they do and valuable in the right patient. Endotine type lifts are also cheeklifts. These can be performed through the temple. Hooks of self dissolving material are placed below the cheekpad, elevating it. Patients note sensitivity to the endotine devices or the fixation devices. Bunching in the side of the eye can be noted. An alteration in the distance between the cheeks can occur. Transconjunctival approaches. It is possible from the inside of the eye to elevate the cheeks slightly and to redistribute the fat from the lower eyelid. If the fat is redistributed, this requires that the orbital septum be violated (from the inside) to spill the fat our beyond the lower rim of the eye bone. Whatever the approach, experience experience experience is key! The lower eyelid is a very delicate structure and a conservative approach is best. The rewards are great. The pulled down look of the older blepharoplasties can be eliminated in most cases, and certainly prevented by using midface techniques. Almost always, the entire face must be considered, not just the cheek, because the cheeklift has effects on other areas of the face. A beautiful appearance of the lower eyelid area can be created that is simply not achievable with any other means. Bad lower eyelid surgery can generally be fixed nicely. Bad aggressive cheeklift surgery is often unfixable. You may wish to read the chapter we wrote in the plastic surgery textbook "Mathes" on midface lifts and browlifts.
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Answer: Midface lifts
There are a number of ways to rejuvenate the midface but the most common cause of aging in the midface is loss of fat which makes fat grafting the best option for most people, such as in the link below
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Answer: Midface lifts
There are a number of ways to rejuvenate the midface but the most common cause of aging in the midface is loss of fat which makes fat grafting the best option for most people, such as in the link below
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April 14, 2021
Answer: Types of Midface Lift
The midface is an important area of facial rejuvenation. A midface lift can be a good option for the appropriate candidate. Typically, a midface lift is performed through either a temporal incision (along the hairline) or in a transconjuctival incision (within the eyelid).
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April 14, 2021
Answer: Types of Midface Lift
The midface is an important area of facial rejuvenation. A midface lift can be a good option for the appropriate candidate. Typically, a midface lift is performed through either a temporal incision (along the hairline) or in a transconjuctival incision (within the eyelid).
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October 28, 2009
Answer: There are many things for the midface The midface is a very difficult area to rejuvenate, and I hear patients discuss many different options that they learn from other surgeons. People describe mid-face lifting through the lower eyelid incision. That can be risky in that the lower eyelid may droop, even if temporarily, resulting in an unhappy patient. The endoscopic approach, which we perform most often, utilizes a telescopic camera inserted in incisions in the hairline to dissect the cheek tissue and lift it. Threads can also be used to lift up the cheeks in a patient where there is not too much heaviness. It is important to see a surgeon who specializes in these procedures so that the best procedure can be determined for you. Good luck. Dr. Miller
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October 28, 2009
Answer: There are many things for the midface The midface is a very difficult area to rejuvenate, and I hear patients discuss many different options that they learn from other surgeons. People describe mid-face lifting through the lower eyelid incision. That can be risky in that the lower eyelid may droop, even if temporarily, resulting in an unhappy patient. The endoscopic approach, which we perform most often, utilizes a telescopic camera inserted in incisions in the hairline to dissect the cheek tissue and lift it. Threads can also be used to lift up the cheeks in a patient where there is not too much heaviness. It is important to see a surgeon who specializes in these procedures so that the best procedure can be determined for you. Good luck. Dr. Miller
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October 26, 2009
Answer: Minimally invasive midface works the best in my hands Midface lifting is designed to address the cheek "overhang" or decent of the malar fat and soft tissues. Many surgical techniques have been described to address this concerning area as facelift does not completely improve the area and fillers are a disguising technique. My approach is a tiny incision percutaneous approach that can be done as a small office procedure. You might see this on YouTube or the website as a local San Francisco news channel filmed us doing the procedure. The results are long-lasting and down time is minimal with a small incision behind the hairline, a tiny "punch" incision near the cheek fold and patent pending suture suspension system and soft tissue anchoring device. Our longest follow up is just over 8 years.
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October 26, 2009
Answer: Minimally invasive midface works the best in my hands Midface lifting is designed to address the cheek "overhang" or decent of the malar fat and soft tissues. Many surgical techniques have been described to address this concerning area as facelift does not completely improve the area and fillers are a disguising technique. My approach is a tiny incision percutaneous approach that can be done as a small office procedure. You might see this on YouTube or the website as a local San Francisco news channel filmed us doing the procedure. The results are long-lasting and down time is minimal with a small incision behind the hairline, a tiny "punch" incision near the cheek fold and patent pending suture suspension system and soft tissue anchoring device. Our longest follow up is just over 8 years.
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October 26, 2009
Answer: Just like there are many ways to skin a cat, there are many ways to do a midfacelift Just like there are many ways to skin a cat, there are many ways to do a midfacelift. All types of midface lifts should be directed at softening the nasolabial fold or laugh lines while elevating the soft tissues of the cheek. They can be done through the lower eyelids, temples and preauricular regions or through the mouth. They can be done with smaller or larger incisions. They can be done in combination with other procedures especially if you have extra skin. The type of approach depends upon your willingness for downtime, your age, whether or not you have areas like hair to hide scars and whether or not you want to increase the fullness to your cheeks. I would consider the type of skin you have, ie, thickness as another factor in which approach you decide. I would get several opinions as well since results can vary amongst surgeons.
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October 26, 2009
Answer: Just like there are many ways to skin a cat, there are many ways to do a midfacelift Just like there are many ways to skin a cat, there are many ways to do a midfacelift. All types of midface lifts should be directed at softening the nasolabial fold or laugh lines while elevating the soft tissues of the cheek. They can be done through the lower eyelids, temples and preauricular regions or through the mouth. They can be done with smaller or larger incisions. They can be done in combination with other procedures especially if you have extra skin. The type of approach depends upon your willingness for downtime, your age, whether or not you have areas like hair to hide scars and whether or not you want to increase the fullness to your cheeks. I would consider the type of skin you have, ie, thickness as another factor in which approach you decide. I would get several opinions as well since results can vary amongst surgeons.
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