Midface Lift for Someone with Chubby Cheeks?

I have deep nasolabial folds,very full lower part of my face and my malar pad migrated towards my nose.I also have under eye hollownes and poorly developed malar bone area.I have a lot of fat on my face, but Im slim.I consultated 3 plastic surgeons who advised against cheek implants,because my face is already wide and full but everything just saggs.Im considering a midface lift,but im afraid my face will look even wider.Should i do lipo (cheeks jaw) or partial buccal pad removal before lifting?

Doctor Answers 10

Midface Lift for Someone with Chubby Cheeks?

 No, not in my opinion.  I do not like the aesthetic results of the Mid FaceLift as it tends to lift and reposition the cheek tissues so they are full laterally, which widens the face.  Aestheically this is a very "odd" look that broadens the face.  The fuller the facial tissues, of the cheek, the greater this effect.  So, in my opinion, this effect could be quite exaggerated in your particular case.

 The face should be shaped, during the Face Lift, by removing the excess fatty tissue...not by suspending or pulling it up and back.  That's the purpose of manipulating the SMAS layer...to lift the tissues up and back.  I prefer minimally invasive version of Face Lifts, with facial shaping.  Hope this helps.

Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Indications for midface lift.

A true midface lift is designed to resuspend the malar fat pad in individuals that have experienced signficant sagging of the cheek mound.  The most predicatable, powerful and enduring results are achieved using a dual approach from both the temple and from the mouth.  Dissection is performed at the bone level to widely release the cheek mound from its bony attachments.  The cheek mound is then resuspended in the most vertical direction possible using the deep temporalis fascia as an anchor point. 

The midface lift is not suitable in all individuals and from what you describe this may the case with you.  Photos would be very helpful.

Mario J. Imola, MD, DDS, FRCSC.

Mario J. Imola, MD, DDS
Denver Facial Plastic Surgeon
4.8 out of 5 stars 116 reviews

Mid Facelift

Without an exam and photo it is hard to answer your concerns. A mid facelift is a great procedure for patients with a deep nasolabial crease as you have mentioned. We also look at your orbit vector ( bone, eye and soft tissue relationship) as well.i would recommend you take some of the advice you have been given. All the best.

Thomas A. Narsete, MD
Denver Plastic Surgeon
5.0 out of 5 stars 10 reviews

Not Everyone is an Ideal Midface Lift Candidate

A photo of you would certainly be beneficial in this instance, but generally speaking individuals with heavy faces make less ideal midface lift and facelift candidates. It is simply harder to re-drape thick skin flaps as effectively or dramatically as we can do in those individuals with thinner flaps.  Not to say you might not benefit from a lift, but make sure you are very realistic in your expectations.  And while we offer Coolsculpting and liposuction on other regions of your body, fat reduction techniques are typically avoided on the cheeks. So I wouldn't recommend cheek liposuction or removing part of your buccal fat pad either.  Good luck! 

Randolph Capone, MD, FACS
Baltimore Facial Plastic Surgeon
4.7 out of 5 stars 51 reviews

Photo needed

for considered comment. It is unlikely a 4th opinion will differ hugely from the body of opinion you have already sought!

Dominic Bray, MBBS, FRCS
London Facial Plastic Surgeon
4.9 out of 5 stars 169 reviews

Midface Lift and Chubby Cheeks

You would be wise to listen, and take the advice of the 3 Plastic Surgeon's you have consulted with.  Surgery is serious and should not be taken lightly.  Once you decide on a surgeon, follow his post operative instructions for your best result.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 60 reviews

If three plastic surgeons tell you not to do something, perhaps you should listen.

If you want a more directed answer, consider posting with your photograph.  I would be very careful about anyone "defatting" your cheeks.  A well meaning surgeon might actually try to do what you are asking.  The aesthetic results are likely to be a problem. I would proceed with extreme caution.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Midface Options for Chubby Cheeks

By your descriprtion and consultations, you have raised a good question. Would defatting alone be helpful, would a cheeklift be helpful, or would some combination be best? This is where photos can be enormously useful as I have found that patient's description of 'chubby cheeks' can be highly variable with slightly different facial locations. I would also not completely disregard facial implant augmentation, it is just that the traditional shape of cheek implants may not be best... not that some underlying augmentation may not be helpful in combination with a lift.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Facial Rejuvenation in Patients With Chubby Faces

Without photos the best I can do is consider you rather typical for a chubby face. As a general rule it is imprudent to add the volume of cheek implants to an already chubby face. If everything is sagging as you described, a midface lift with very  careful defatting can be done. Sometimes removal of buccal fat can help to further define the cheeks and jaw. Additional liposuction of the neck with attention to the jawline can further help to define the lower face. Although it seems counter- intuitive in a chubby face, fat grafting may also help to redistribute the fat to important areas such as the cheeks, nasolabial folds, marionette lines and the lips. I hope this info is helpful in your search for a Plastic Surgeon.

Paul S. Howard, MD, FACS
Hoover Plastic Surgeon
5.0 out of 5 stars 7 reviews

Midface Lift for Someone with Chubby Cheeks?

     That may be appropriate, but it is very hard to evaluate you with a description alone.   An exam or photos would be indicated to help address your issues.  Just from your description, your consultants seem to be telling you the same thing.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 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.