Is a cheek lift from inside mouth or under eye if I don't want a mid facelift?

Question

Hello, could anyone please tell me which is better if I do not want a mid facelift but cheeks lifted: cheeklift from inside the mouth or under the eye? The reason for this question is because I already had a facelift 9 years ago and while it took care of my face from the immediate sides the center has somewhat dropped. Thank you in advance.

Sophie Ricketts, MBBS (Hons), FRACS (Plast) · Answer

There are 2 general ways to 'lift' the cheeks or midface. One is to elevate the soft tissue on the facial skeleton and fix it to the new position. This would generally require an incision under the eyelid. Commonly called a midface lift or malar lift.
The second way is to increase 'volume' in the area to give the appearance of lift. This can be achieved with small implants to improve cheekbone contour (access incision inside the mouth) or synthetic fillers or fat grafting, requiring no scars. Fat grafting is often good for 'lifting' the cheeks more towards the midline between the side of the nose up to the lower eyelid. This is permanent unlike the commonly used synthetic fillers.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your questions. Without photos is is hard to evaluate. If you feel that your cheeks have lost volume or there is increased hollowness under the eyes then this surgery will be useful for you. This returns fullness to the cheeks and can soften the deeper lines that extend from the corner of the nose to the corner of the mouth.The cut is made under the lower eyelash margin. The fat and muscle layers are re-draped and secured. The cheek fat is dissected and secured to provide the lift. Please consult with a certified plastic surgeon who will best advise you All the best

Joshua A. Halpern, MD, PA · Answer

Unfortunately there are no pictures. An Endoscopic cheek lift, which I helped to pioneer, is a procedure where one lifts the cheeks through an incision located in the lower eyelid just below the lower eyelid lashline. The soft tissues of the cheek are elevated off the cheek bone and the cheeks are elevated. This helps to rejuvenate the cheek/mid face region. I hope you find this information useful. Please see the enclosed video.

Gerald Wittenberg, MSc, DMD (retired) · Answer

If the area to be lifted is under the midpoint of the eye versus 'near the outside' edge of the eye (when a vertical line is drawn downwards); the under eye incision is correct approach. The only 'intraoral' approach combined with an incision in the temple hairline; is for building the cheeks 'more towards the cheek arch'. Talk to the surgeon about the options, since your present status is a key

Is a cheek lift from inside mouth or under eye if I don't want a mid facelift?

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