What procedure can lift lateral cheek and correct hollow lower eyelid?

Cheek and eyelid correction with faceliftA #facelift, #minilift, #litelift, #midfacelft can all improve the cheek depending on the manner in which the surgeon performs the surgery.Improvement can also be accomplished with fillers

 A properly done mini lift that elevates the SMAS tissue high up on the cheek would do it.  It will need to be combined with a lower lid procedure to remove excess skin and sometimes fat graft the tear trough area.  

The changes that occur with aging in the cheek and around the eyes are multifactorial in nature, and thus a definitive solution may require a series of different procedures. The descent of soft tissues in the cheek can be treated with an endoscopic mid face lift with endotine fixation.  The access incisions for this procedure are in the temple behind the hairline, and in the mouth between the cheek and the gums. Through these incisions, the soft tissue of the cheek can be completely freed from its attachments to the bone and completely elevated. Once the soft tissue has been placed in its proper position, it can be fixated with an endotine device  to lock it in place.  The endotine dissolves completely after several months, once scar tissue at the operative site has formed to maintain the new elevated position of the soft tissue of the cheeks.Once the soft tissue volume and position has been reestablished in the cheeks, attention can be turned to the lower eyelid, where aging changes include redundancy of the lower eyelid skin; relaxation of the orbital septum and increases in preseptal fat, which can cause bulging of the eyelids or eye "bags"; and loss of lower eyelid support. The tear trough deformity at the medial aspect of the lid/cheek junction can be exacerbated by loss of subcutaneous fat and thinning of the skin with age, as well as tightness at the insertion of the orbiculares oculi muscle at the malar bone. These changes can be addressed by a conservative resection of preseptal fat in the eyelid; conservative excision of lower eyelid skin; surgical release of the arcus marginalis (the insertion of the orbiculares oculi muscle onto bone); transposition of the resected preseptal fat to camouflage the tear trough defect; and a lateral canthopexy to increase the tendinous support of the lower eyelid, which will also partially correct the lengthening of the eyelid that occurs with age.Lastly, meticulous and precise fat transfer in multiple planes, from preperiosteal to subcutaneous, can provide additional camouflage of the tear trough defect, the final step in an integrated surgical plan to treat loss of cheek volume and a visible tear trough deformity in a patient desiring a natural rejuvenation of the mid face and periorbital region.

I find fillers work best in this area, and/or fat with PRP.  I suggest a formal consultation. There are skin tightening procedures as well that can be used , in place of surgery if you are a candidate for a non invasive approach.  Best, Dr. Emer.

Photos would have been helpful. But in general terms, before racing to invasive surgery, with its attendant expenses, greater downtime, and potential for scarring (however hidden), I would strong urge you to check out both "nonsurgical cheek augmentation" and "nonsurgical treatment of tear troughs and undereye hollows" using volumizing fillers in the archives of RealSelf.com or simply do an internet search using these key terms.  You will find that nonsurgically augmenting the cheeks not only can provide lift to the cheeks, but often secondarily improve the area immediately below the eyes. And even if some hollowness remains, this can equally be treated with injectable volumizers and fillers. The results are immediate, engender little to no downtime, and typically evoke a "Wow!" response right after treatment, which usually takes only about fifteen minutes in experienced hands.  In my Upper East Side Manhattan office, I typically use Voluma XC for augmentating the cheekbone region, Juvederm Ultra Plus XC (for the upper inner cheeks, if needed) and Belotero Balance for tear troughs. Not uncommonly, the Voluma XC cheekbone augmentation is all that is necessary. In my Israel satellite facility where a far greater number of regulatory agency approved fillers and volumizers are available, I would use Stylage XXL, Princess Volume and Teosyal Redensity II for each of these purposes, respectively.Make sure to consult with a board certified aesthetic physician before simply proceeding with surgery.

Neither option will correctly address the tear trough area.  For tear trough improvement, options include filler or fat injection, lower blepharoplasty, and tear trough implant. See an oculoplastic specialist.

Correction of hollow lower lids and saggy cheek? The usual method of correction for this problem without seeing the photographs of your face would be either a cheek lift or cheek implants. Which procedure is used will depend upon whether or not your cheek is small or has it sagged or a combination of both. See a very experienced surgeon to assess which would be better for you.

An exam or photos will helpA cheek lift or facelift will help the cheeks.The tear trough usually needs some direct filling to correct.

Thank you for your question. A cheeklift verses a full facelift would depend upon age, skin elasticity and skin texture. The hollowness under the lower eyes is easily corrected with Fat Transfer. It is a beautiful and very natural way of getting that more rested and fresh look back .

The are a number of techniques. One is an Endoscopic/mini scar cheeks lift (which I helped to pioneer). The cheeks are lifted through a small incision located next to the lashline of the lower eyelid. Another procedure is a high SMAS lift, with or without fat injections. The incision goes from the ear lobe all the way up to  the temporal hair line and sometimes around the ear into the neck. I hope you find this information useful. Please see the enclosed video.