Midface lift - how long do the results last? Why are surgeon opinions so different?

There are several reasons why surgeons have differing opinions about this procedure. First of all, terms such as midface lift, endoscopic facelift, or ponytail lift all target the same general area, but the techniques used can vary significantly. Some surgeons lift the muscles and ligaments from deeper layers (subperiosteal or deep-plane approach), while others only elevate the more superficial tissues.
This difference affects both the longevity and the visibility of the results.
In addition, each surgeon treats a different patient profile. Age, skin quality, degree of laxity, bone structure, fat distribution, and any previous procedures all influence how long the results will last. Patients who are younger, have good skin elasticity, and only mild sagging generally maintain their results for a longer period.As age increases and excess skin becomes more prominent, tissues tend to relax more easily, and the achieved effect may fade sooner.
Some surgeons take these differences into account and give more cautious explanations.
The durability of the results also depends on the fixation technique used, the lifting vector, the patient’s lifestyle, and the overall skin quality. Factors such as smoking, weight fluctuations, and sun damage can accelerate the loss of results. In well-selected patients with proper fixation, the improvement can last 5–10 years or even longer, whereas in more superficial mini-lifts the duration is usually 2–4 years.
For someone like you with mild cheek descent and good skin tone an endoscopic midface lift can be a reasonable option. It is less invasive than a full facelift, has hidden incisions, and requires a shorter recovery time. However, its effect is also more limited; it will not significantly correct the neck or jawline.
If your goal is simply to lift the cheeks slightly and achieve a fresher appearance, an endoscopic midface lift could be the right choice. Just keep in mind that it won’t create a dramatic change, and the natural aging process will continue.
The best approach is to consult a plastic surgeon who frequently performs this technique and thoroughly understands midface anatomy, so they can determine which method is most suitable for your skin type and facial structure.