Mid Face lift & Malar Fat Pads?

The midface can be lifted through various approaches, including via a traditional facelift or via lower eyelid incision and a temporal incision.  The facelift approach uses SMAS tissue plication or a flap to raise the midface.  The lower eyelid incision can use a pre or subperiosteal approach.  Both can have nice results; however, there have been more issues with the lower eyelid approach causing lower eyelid deformities to ask about this if this is the approach your surgeon recommends. 

The mid face soft tissues are represented by a down pointing triangle of the front mid cheek. As the face ages this area loses volume and can be improved by filling it with fillers either commercial or autologous. This only addresses half of the problem in that the mid face also falls secondary to downward gravitational pull. I manage this by performing a formal endoscopic mid face lift. This limited incision technique allows for long term elevation of all the mid face soft tissues in the proper direction. Occasionally a small anatomical cheek implant is placed inorder to improve long term results.