Is the vertical midface lift, (subperiosteal) still a useful procedure?

Thank you for your question.  A midface lift performed through a lower eyelid incision is a safe and reasonable procedure, when performed by someone who has quite a bit of experience with this procedure.  That being said, there are other methods to performing a midface lift.  Most times a midfacial lift is performed along with a deep plane facelift. This procedure allows access to the face, midface, and neck.  A midface lift can also be performed as a stand alone procedure through an endoscopic approach from incisions made within the hairline.  I would consult with a board certified facial plastic or plastic surgeon, who specializes in facelifts and midface lifts.  Be sure to ask for before and after photos, to be sure they are in line with the goals you have for surgery.  I hope that this helps!-David Gilpin

This procedure is not recommended in most cases.  Although it was once popularized, most experienced face lift surgeons tend to agree that more aggressive procedures such as this will reliably increase complications without reliably improving results.  I favor a face lift with suture treatment of the SMAS and fat grafting as appropriate.  Going deep risks serious and permanent complications for no demonstrable improvement in outcome.  I think you are reasonably well informed already, and I hope this and other answers will help you make an informed decision.

This is still a very good procedure but needs to be performed by experienced surgeons. This is my preferred route for midface lifts. If it is not performed well however it can cause some problems with the lower eyelid.