Endoscopic or Traditional Mid Face Lift for Cheek Lifting?

When we say cheek lift, we generally mean a facelift not a midface lift. There are a number of midface procedures done through the open facelift. They are disasterous for someone your age. Virtually all of the involve lift the orbicularis oculi off the zygoma with causes nerve injury to the orbicularis oculi muscle of the lower eyelid. Then there are a number of midface procedures done through the temple. The risk here is that again the nerves supplying the orbicularis oculi can be harmed. Also the deep fat overlying the zygoma and extending into the temple can be damaged by the surgical dissection. The effect is loss of volume in the temple and over the top of the zygoma. This makes it look like some took a bit out of the side of the face.

Yes it is possible to have these procedures with less damage but I do not seem so many results like that. Also the purpose of the procedure is to moblilize the cheek (malar fat) and pull it up toward the temple. Well it turns out that it is not suppose to go there. The result is more than a little unnatural. Can these various procedure be done endoscopically. The answer is sure. However using a smaller hole to get the job done does not necessarily make the surgery better, it just makes it harder to perform.

For someone like yourself who is 30 with under eye hollowing, the best answer to date has been filling under the eyes with Restylane.

If it is volume you want, then use fat grafting.  It is safe and effective, with minimal incisions,  and will look very natural.  This can be combined with a mini face lift for further rejuvenation. 

At 30 years of age there is not much sagging in the cheeks present. The mid-facelift whether done open or endoscopically tends to bunch up the cheek skin and make the eye smaller in appearance and Asian.
The aging process of the cheeks shows a loss of volume of fat and a slight amount of descent of the cheeks. The descent of the cheeks is known as jowls and can be re-suspended with a traditional face-neck lift say at age 50.
A much better alternative to the mid-facelift is a volumetric reestablishment of the cheek through cheek augmentation. This is a simple, effective, reversible operation whereby implants are placed on the maxilla of the cheeks through the intraoral root. There are many different sizes and shapes that can be used depending upon the patient’s needs, wants and desires. They can be placed in the malar area or the submalar area depending upon where the loss of volume has occurred. These are totally reversible and can be removed or replaced if ever needed. This is a much better option than mid-face-lifting.