Mid FaceLift - I want to address under eye hollowness & sag lines under cheeks, what are the possible technique options? (photo)

Question

I seek to address (1) hollowness under the eye, (2) “sag” lines under the cheek bone. To be perfumed with a lower blephoroplasty and lower facelift. (A) Is there any point considering an endoscopic approach (given multiple procedures). Could results be as durable as a more invasive technique? (B) Aside from repositioning of malar fat pads what other tissues might be repositioned. How does this affect the risks and results? (C) How do the terms such as “SMAS” and “Deep Plane” to the mid facelift?

Vincent N. Zubowicz, MD · Answer

I would proceed carefully before considering a midface lift. From the photographs it looks fillers might be indicated. If considering lower eyelid surgery the orbital fat can be reposition to correct the tear trough abnormality.

Kimberly Lee, MD · Answer

Your areas of concern are common requests from patients.  There are several options to improve the under eye hollowness and face.  However, men's faces and goals are very different from that of women.  Options include nonsurgical, minimally invasive, and surgical technique to address these areas including the newest technology.  Please consult with a board certified specialist in the face who can assist you with achieving the results you seek.  3-dimensional computer imaging will also help you visualize what you may look like afterwards and serve as an important tool to communicate with your surgeon.

Francis R. Palmer, III, MD (retired) · Answer

Yes, men do want to appear less tired looking.  Having a bit of filler with a mini-incision type facelift will remove 7-12 years from your appearance!  The recovery is quick and easy.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  You appear to be young and your photograph and before undergoing major facial surgery I would suggest that you consult an expert board certified plastic surgeon who is skilled at dermal filler injections.Your cheek can be volumize nicely and the tear trough area improved with filler injections.  An expert can also use a small amount 0.6 cc of Restylane to carefully plump the nasojugal fold that small depression beneath your lower eyelid near the nose.An expert can certainly improve the areas your concerned about without having to undergo major surgery which will have to include open fat grafting into the lower eyelid area.

Mid FaceLift - I want to address under eye hollowness & sag lines under cheeks, what are the possible technique options? (photo)

Answers (4)