Mid Face lift & Malar Fat Pads?
Doctor Answers 13
What is a mid cheek lift and why have one.
mid cheek is the area of the cheek
under the eyes, between here and the upper lip. It is a most visible and
important part of the face and when just right gives a positive healthy, attractive and youthful look to the face. Just think of the actress, Cate Blanchett. Unfortunately,
some people, usually for hereditary reasons, do not have a well developed bone
structure of their mid cheek. This automatically limits their attractiveness and predisposes the person to the tired look associated with premature aging.
The fat layer under the skin here is called the malar fat pad and is thicker than elsewhere. If not projected forward
by good bone structure the fat pad soft tissue, tends to sag; at least it looks
that way. A mid face lift is performed through
the lower eyelid, which is usually involved in the premature aging, forming lid
bags. The lower lid aging is corrected as part of the cheek correction below. The direction of
lift of a mid cheek lift is purely vertical, so the benefit is localised
to the mid cheek and it does not benefit below and to the side. In my experience
this procedure is indicated for people who have most of their aging in this
important area, and the deficiency of bone structure is corrected at the same
time by using a cheek implant. Although
factory made, synthetic implants of silicone and porex are most often used and
are very good, but my preferred implant material is coral, which is naturally
occurring. I have used this in the mid cheek correction of over 600 patients because of its favourable biology and the flexibility to individualise the result.The coral used is microstructurally identical to
facial bone and purified to become hydroxyapatite, the mineral of bone. The
coral comes as small granules, which the surgeon places on the surface of the
deficient bone and moulds it to the desired shape for the individual persons
face. Obviously the shape is different for women and men and has to
aesthetically balance with the other facial features. Over time the persons own
bone grows into the coral implant so there is not any concern about any
problems of infection or rejection in the long termas there can be with silicone. So
if someone has that bone deficiency a permanent correction is obtained . However,
more often the midface deficiency is part of overall facial aging. With the
advances in facelift surgery, it is now possible to add a good midface lift with
the facelift so the whole face is refreshed. The cheek implant augmentation can
also be performed through the facelift and surgery on the lower lid not required.
This has the advantage of avoiding the slower healing associated with full
lower lid surgery. The vector of tightening of the facelift on the mid cheek is
up and also out. You can see the benefit of this direction of lift when pulling
your cheek in this direction as you look in a mirror. This direction optimises the ‘lift’ over the cheek
implant and has most benefit on the laxity of the malar fat pad.
Cheek implants for flat maxilla and atrophic malar fat pads
Mid Facelift and Malar Fat Pads
You might also like...
#Midfacelift treatment of #malarfatpads
Surgeons can be qualified for a variety of reasons,
- Board Certified by The American Board of Plastic Surgeons
- not ..... Board of Cosmetic surgeons
- member of ASAPS
- years of experience
- referral from a friend who is happy
Thank you for your question. A mid face lift elevates cheek volume that has fallen. However, with age we also lose facial volume that can be at least partially restored with fat grafting or fillers. I would recommend consultation with a facial plastic surgeon to discuss what option is best for you.
"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
Mid Face lift & Malar Fat Pads?
If you have "jowls" this is sagging facial tissues and an indication for some form of a facelift, not Cheek Augmentation. I have performed many Cheek Augmentations over the past 25 years and the notion that Cheek Implants or dermal fillers to the cheeks will lift tissues is an urban myth. Filler to the cheeks or cheek implants will not lift up the jowls. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured. The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:
•very small incisions
•minimal tissue dissection = less bruising and swelling = rapid recovery
•can be performed in 90 minutes or less, with or without general anesthesia
•no incisions within the hair = no hair loss
•excess fat can be removed
•excess skin removed
•cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Perlane) or facial implants
•most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
Mid-face lift and malar fat pads
There are various ways of doing a mid-face lift.
A common approach is to raise the tissues off the cheeks and suture them higher.
This takes the malar fat pad higher.
Always see a Board Certified Plastic Surgeon
Hope you found this answer helpful. Best wishes
Mid face lift and Malar fat pads
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.