Mid or face lift? Aggressive treatment (Photo)

i have a saggy mid face that is BOTH hereditary and age related. the rest of my face is VERY tight(naturally) and the area that isnt copletely stands out what procedure what give me an aggressive lift in my mid face thats up and out? i dont care about scars. im fine with using make up and lasers to take care of scars. the sagging of my cheeks is far more disturbing to me than any reasonable scar. can a lift be as strong as in my picture? fillers only gave me a mild, mediocre lift

Doctor Answers 20

Mid face lift

From your photos and description, i would advise against any face lift surgery (mid or not).  You would be wasting your money and getting nothing for it.

Beverly Hills Plastic Surgeon
3.9 out of 5 stars 11 reviews

Mid or face lift? Aggressive treatment?

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. The LiteLift™ is an innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself which benefits many male patients. The goal of the #LiteLift is to provide a less invasive natural looking option for both men and women desiring to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.

The technique requires limited incisions and takes a vertical lifting approach, in contrast to the traditional facelift, which requires extensive incisions and lifts or pulls the face towards the ears horizontally. The modern techniques used allow us to perform most LiteLift® procedures in the office under local anesthesia. Also, removing the risk of general anesthesia opens the door for more people to pursue facial surgery. All too often people do not move forward with undergoing the desires facelift surgery due to their overwhelming fear of the risks associated with general anesthesia.

This is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
The best candidates for #LiteLift are non-smoking patients 35-60 years old with stable skin elasticity, well-defined bone structure but showing early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™. All in all, Lite Lift™ surgery is individualized for each patient. 

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 107 reviews

Mid facelift is obsolete

None of the experts do midfacelift any more because the midface area hasnt fallen it has deflated and needs more fat to fill it in.Anyone doing a midfacelift hasnt seen it 10 years later as I have. Like nothing was done.

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

Hard to Say, Need More Information

Without additional information, such as your age, it's difficult to say whether or not any sort of cosmetic surgery may benefit you. From what I can gather on the photos you've provided, it may be too premature at this point, and you run the risk of looking "overdone" if you choose surgery now. It's possible that you may be able to benefit from a mini facelift, also called a mid-face lift. Please be sure to see a board-certified plastic surgeon, especially one who specializes in facial rejuvenation, to learn more about the options that may be right for you.

Thomas McNemar, MD, FACS
Stockton Plastic Surgeon
4.9 out of 5 stars 16 reviews


From the limited photo views, it seems that a mid face lift along with fat grafting to the cheeks would give you the best result. Plumping the cheeks and tightening the skin will not only add youth, but will significantly diminish the acnes scars as well.

R. Scott Yarish, MD
Houston Plastic Surgeon
4.4 out of 5 stars 39 reviews

Facelift or Mid-Face Lift

From you photos you would benefit more from a mid-face lift. A facelift, unless the incision is carried up into the upper temple area will not treat the cheeks as well as a mid-face lift. Though not important to you, scars in this area can be obvious, so I rarely make this higher incision.

Franklin D. Richards, MD
Bethesda Plastic Surgeon
4.8 out of 5 stars 130 reviews


Thank you for your question. It would be helpful to have more information, including your age and additional pictures, in order to provide an accurate diagnosis.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 116 reviews

Midface lift

Without examining the rest of your face, the angle of pull that you demonstrate is perfect for a midface lift.  We do these with a minimal incision.  A simultaneous cheek implant would enhance your results.  Best wishes. 

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 reviews

Rejuvenating the Face

There are several options to help lift the sagging skin in the face, including minimally invasive procedures that leave essentially no scar and surgery.  You may need a combination of procedures to help you achieve the best result.  Because males have different facial structure and anatomy and different goals from women undergoing facial plastic surgery, it is important to consult with a board certified specialist who can assist you in achieving the results you seek. 3-dimensional computer imaging can help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Saggy Midface

Hello.  Thank you for your question.  The pictures you provide do not show the entire face and neck, so it is difficult to accurately assess your concerns.  The jawline and neck are not visible in the photos.  However, you do appear to have flat cheeks with poor projection which can cause the midface to appear "saggy".  Just based on this limited view, it appears that augmentation of the mid-face with fat, fillers, or cheek implants would restore volume and enhance the appearance of the mid-face.  I would recommend that you seek a consultation with a board-certified Facial Plastic Surgeon and allow them to fully assess your individual anatomy, concerns, and goals, in order to determine the best treatment plan for you.  Best of luck to you in achieving your aesthetic goals.

Michael Boggess, MD
Nashville Facial Plastic Surgeon
4.9 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.