Vertical mid face lift; Why do a lot of patients look like they have a longer face after having this procedure?

I’m not sure what you may be referring to with the elongated face from a midface lift.  I am familiar with the procedure and have been unimpressed to say the least with the purported benefit and results.  A well done standard facelift gives great results.  If you add a midface lift it does very little and can result in the lower lid dragging down.  Not worth it in my opinion.

Thanks for the question. You should be able to go on vacation by 3-4 weeks after your surgery. But this is valid only with assuming postoperative recovery is uneventful. If any unexpected incident happens in your treatment process, this time can be extended or shortened. I wish you all the best.

Thank you for your question.I have not really seen an increase in the length or a long appearance of the face after a vertical mid face lift, although the shape does look less natural. A vertical Mid Face Lift lifts the face in only one vector-vertical. A SMAS Face Lift as practiced by most Plastic Surgeons today lift the face in both vertical and an oblique direction. The latter gives a more natural result. I recommend & follow this approach for most patients. 







All The Best !

Thank you for the question. I think there is a key distinction to be made between a midface lift, which is typically done through an endoscopic browlift-type approach (or less commonly, through a lower eyelid approach) and a facelift technique that emphasizes lifting the midface tissues (e.g., deep plane facelift or high-lateral SMAS). The former can have some negative consequences for the fatty tissues around the orbit and in the lateral face; in addition, it gives a more limited change. The latter are perfectly good options for lifting the face, especially in cases where the fat pads and soft tissue of the cheeks has dropped significantly. The vertical vector is described to emphasize that the tissues are lifted MOSTLY in a vertical direction. It is not straight up, but more up and back (toward the temples). When done correctly, this should reposition the fat pads to their more youthful position -- without changing the face shape.

Generally the midface tissue is lifted to the temple area.  This causes a variety of aesthetic issues.  The worst of these is a subtle break down of the fat along the orbital rim.  This loss of this volume creates a hollowing along the zygomatic arch.  This has a profound negative effect.  This little cushion of fat along the orbital rim aesthetically isolated the eyes from the temple.  Without that cushion the gaze drifts off the eye area and into the temple.  Patients with this deformity report that people no longer look in their eyes.  I have several methods for correcting this issue.

Dear Milliemil9Thank you for your question! Facelifting is more about facial shaping versus the name of the procedure or the scar type.  The incisions heal well if the planning is correct and there is no tension on the skin. It is important to restore shape - not just pull.With Warm RegardsTrevor M Born MD

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.  If you are an appropriate candidate and if good technique is used,
this can be done with minimal scarring and can result in a natural look, not
over-done look, with rejuvenation of your face.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results. The most important aspect
is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

In our practice, we do not perform a vertical mid facelift due to the fact that the face ages with loss of volume, not vertical descent. When patients have a flat maxilla and a flat cheek profile and desire augmentation in that cheek area on a permanent basis, we perform cheek implants. Cheek implants are manufactured out of silastic,  and are manufactured in a large variety of sizes and shapes which can meet patients unique anatomy. For more information about cheek implants and diagrams of the implants themselves along with many examples of cheek implants, please see the link and the video below

There's a reason that this kind of lift isn't performed as often anymore. It doesn't deliver superior results. The face often looks pulled. A mid-facelift with the SMAS technique, what I prefer, will give you a must more natural look. Schedule a consultation with a board certified plastic surgeon in your area to be assessed in person and discuss.Kindly,Kouros Azar

This is a good question.  There are many types of facelifts.  A vertical facelift does just that, it pulls the face upward in a vertical shift.  I feel this is an unnatural look to the face.  If you just pull upward it dos not look natural and creates this distorted look to the face.  The shift should be changed to go slightly upward and backward.  This should give a more natural look.  Most surgeons would agree that a SMAS ( Deep Layer )approach gives the face the most support and best result.  The other methods of lifting are usually shortcuts and usually do not last.  Presently, I utilize the SMAS approach and most facelifts can be performed under local anesthesia or IV sedation with much less downtime than in the past.  Techniques have improved and patients do very well.  Good luck