I have noticed that most deep-plane facelifts lift along a diagonal vector (closer to the ear). However, a lot of people are left with sagging cheeks. Why isn't the malar eminence area lifted vertically (closer to the lower eyelid) during a facelift? I see a lot of great results but they are partial because I see the apples of the cheeks still sagging
Answer: Sagging cheeks in facelift There is a natural vector that is followed with most deep plane facelifts that is more diagonal than vertical. It is possible to address the cheek or malar area with adding back volume via fat transfer. In that way you have the benefit of both the lifting of the SMAS and cheek.
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Answer: Sagging cheeks in facelift There is a natural vector that is followed with most deep plane facelifts that is more diagonal than vertical. It is possible to address the cheek or malar area with adding back volume via fat transfer. In that way you have the benefit of both the lifting of the SMAS and cheek.
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September 22, 2022
Answer: Apples of Cheeks Good Morning! Great question. Typically, the vector is superolateral toward the temple area rather than toward the ear. If you lift the cheek mound too much, it can crowd the lower eyelid and make an odd-appearance to the face. This can happen especially in midface lifts if done improperly. The malar eminence usually returns to a nice position in a deep-plane lift with the correct vector. Hope this helps!
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September 22, 2022
Answer: Apples of Cheeks Good Morning! Great question. Typically, the vector is superolateral toward the temple area rather than toward the ear. If you lift the cheek mound too much, it can crowd the lower eyelid and make an odd-appearance to the face. This can happen especially in midface lifts if done improperly. The malar eminence usually returns to a nice position in a deep-plane lift with the correct vector. Hope this helps!
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August 14, 2022
Answer: What you need to know before undergoing a facelift Hello, thank you for posting your question. The best facelift procedures pull the cheeks upward and outward for natural and long-lasting results. An incision should be made near the temple and hairline, lifted near the ear, and hidden with a natural crease line. The superficial muscular aponeurotic system (SMAS), which consists of deep tissue and muscle, is then lifted upward and outward. This process creates natural results and a small chance of future sagging skin and cheeks. It can be challenging to have similar results without both steps to the facelift. A board-certified facial plastic surgeon with skill and experience works closely with patients to explain the process and expected results.
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August 14, 2022
Answer: What you need to know before undergoing a facelift Hello, thank you for posting your question. The best facelift procedures pull the cheeks upward and outward for natural and long-lasting results. An incision should be made near the temple and hairline, lifted near the ear, and hidden with a natural crease line. The superficial muscular aponeurotic system (SMAS), which consists of deep tissue and muscle, is then lifted upward and outward. This process creates natural results and a small chance of future sagging skin and cheeks. It can be challenging to have similar results without both steps to the facelift. A board-certified facial plastic surgeon with skill and experience works closely with patients to explain the process and expected results.
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July 27, 2022
Answer: Facelift but why the saggy cheeks? Hello, thank you for your question. Yes in some instances we can only lift so much of the face. For mid to upper face lifts, the incisions would have to be taken higher along the hair line. The mini facelift is an incision that starts by the tragus of the ear and wraps around the ear into the posterior hairline. We try our best to lift upwards but of course limited by the incision. So to achieve what you are looking for can be accomplished, but with higher scars.
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July 27, 2022
Answer: Facelift but why the saggy cheeks? Hello, thank you for your question. Yes in some instances we can only lift so much of the face. For mid to upper face lifts, the incisions would have to be taken higher along the hair line. The mini facelift is an incision that starts by the tragus of the ear and wraps around the ear into the posterior hairline. We try our best to lift upwards but of course limited by the incision. So to achieve what you are looking for can be accomplished, but with higher scars.
Helpful
July 26, 2022
Answer: Lifting the Apples of the Cheeks A deep-plane facelift with ligamentous release and malar elevation should lift the apples of the cheeks. Facelifts should have a vertical component and there are different opinions on the overall vector. I performed an extended deep-plane facelift with ligamentous release and malar elevation when indicated.
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July 26, 2022
Answer: Lifting the Apples of the Cheeks A deep-plane facelift with ligamentous release and malar elevation should lift the apples of the cheeks. Facelifts should have a vertical component and there are different opinions on the overall vector. I performed an extended deep-plane facelift with ligamentous release and malar elevation when indicated.
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