Will Cheek Lift Improve Hollow Lower Eyelids ?

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.

Hello cari in canadaA facelift will:
smooth out major folds and wrinkles,tighten the tissues beneath your skin,remove sagging and excess skin.A facelift can also reduce excess skin around the neck and jawline.

Thank you for your question. You have a very specific concern which would be best addressed during an in-person consultation with an experienced facial surgeon. In general, the mid-face region roughly correlates with the area between the lower eyelid and the corner of the mouth. A mid-face lift, sometimes referred to as a cheek lift, can help to restore fullness to the midface by vertically repositioning the soft tissue of the cheek to a higher, more youthful position on the cheek bone. At the same time, lower eyelid appearance is often improved as the repositioned cheek tissue is more favorably redraped over the lower orbital rim, minimizing the unfavorable hollow appearance of the lower eye region. In some cases, the hollow appearance above the lower orbital rim may be improved as the rim itself is revolumized with the vertically repositioned cheek. Revolumization of the orbit itself (above the lower orbital rim) with either fillers or fat is not commonly attempted due to the associated risks. Warm regards.

A cheek lift through the eyes is a good and current technique in the right hands and can help fill in the hollowing from the over resected fat from your blepharoplasty as can fat transfer or fillers. You will need to find a great plastic surgeon for this. -  (see link).

I use the cheek lift and mid face lift procedures to raise the lid-cheek junction to improve the lower eyelids. Stimulatory fillers can also improve the results of your midface lift. Raffy Karamanoukian MD FACS

This question shows you are thinking well. Unless you have very loose cheek skin, this will not work. Furthermore you take the chance of pulling the eyelid down, unless the surgeon has a great deal of experience in doing this operation. Without seeing this my best guess is fillers or fat would be best--fillers are temporary--fat injection also takes an experienced surgeon so you don't end up with "sausages" in you lower lid.

I think a cheek lift would be excellent for you if you have jowls that need to be treated or an ectropion.  Otherwise, I would go for fat injection or fillers.

A midface or cheek lift is an effective technique when performed alone or in conjunction with other procedures to reduce lower eyelid hollowness.


Several different techniques for midface lifting exist, albeit an eyelid approach will offer maximal improvement of lower eyelid hollowing and smoothing of the eyelid-cheek junction. The eyelid approach can usually be performed through a small incision at the outer corner of the eye. The remainder of the incision is hidden on the inner aspect of the eyelid, unless lower eyelid skin needs to be removed. Sometimes an incision in the mouth at the gum line is used to help re-position the cheek.


Elevation of the cheek will result in upward movement of the underlying fat towards the lower eyelid area. The fat can then be positioned to soften the eyelid cheek junction, and restore fullness of a hollowed lower eyelid. In some instances fat grafting to the lower eyelids is also performed for maximal improvement.


The patient should remember that lower eyelid hollowing can be due to a deficiency of the cheek and orbital bones and not fat. In this instance an implant may be placed underneath the lower eyelid or cheek to improve the hollowed appearance.

 

Adam J. Cohen, MD, FACS
 

Some cheek lifts will improve the outer half of the orbital rim, but not the innner half. It will also not correct a hollow above the rim.

Fat injection - Viafill is best - will correct these problems. Safe simple and avoids surgery.

Your surgeon wants to do a midface lift in conjunction with the facelift (which really is a neck lift). For the most part the midface lift involves lifting the tissues off of the bone or periosteum. This creates significant swelling that takes a long time to resolve. It is a great procedure to regain midface fullness and I am a big fan but you are right it will not help your lower lids.
I would recommend lower lid fat grafting. Although this can often take more than one procedure it will correct the problem. The midface lift will not. Fillers are temporary so I would go with fat.