What is a subperiosteal mid facelift?

Subperiosteal mid-face lifts elevate the facial tissue by lifting the periosteum off the bone of the cheek and lifting all of  the tissue as one unit to a higher level. It is a reasonable option for men or women with cheeks that have sagged, but they don't have a lot of jowling or loose skin in the neck. Potential problems with subperiosteal lifts include prolonged swellling, recurrent sagging if the overlying tissues aren't firm enough to be pulled up with the periosteum, nerve injury, and pulling downwards on the lower lids.

The periosteum is the thin layer of facia that covers bone, in this case the cheek bone (zygoma). A subperiostel lift is below the periosteum and when this layer is lifted so is all of the superficial soft tissue. This is a more invasive procedure than most of the newer technique and results in prolonged and extensive swelling. I no longer use this technique in my practice for these reasons.#midfacelift

This involves lifting the malar soft tissues (cheekbone) from the bone and pulling it up with sutures to the temple region.  This can be done via the lower eyelids or via the mouth.  A deep plane facelift lifts the skin and SMAS which is the tissue under the skin, without reaching the bone.  The recovery is much longer for the subperiosteal lift due to significant swelling afterwards.  Another option for lifting the midface is a high SMAS facelift.  In my opinion it is just as effective with a quicker recovery and a more natural look.  

In this operation elevation of the soft tissues of the face is performed through the inside of the lower lid and deep to the muscles and soft tissues of the face. This is an operation with a well-deserved reputation for significant face in eyelid distortion. It should only be performed by someone who is very experienced in the technique. Facial rejuvenation in the periorbital area can be done by fillers. A conventional facelift accomplishes the same thing as well as restoring youth to the neck.

A subperiosteal facelift is a type of facelift procedure that lifts the mid face tissues by performing a dissection on top of the bone of the mid face. This procedure is usually performed through an intra-oral approach ( through the mouth) and through incisions in the lower lids ( eyelid lift /  blepharoplasty incisions). It also can be done trough an endoscopic approach through incisions in the hair bearing scalp.Since the "lifting" capacity of a subperiosteal facelift is not as powerful as other techniques that involve the traditional facelift incisions ( scars in front of the ears), this type of facelift is usually recommended to young patients ( 40s) who have minimal skin laxity but descend of the mid face soft tissues, and don't want /it is not recommended traditional facelift scars.