Why aren’t endoscopic midface lifts done more?

The answer is that endoscopic midface lifts are still performed when the indications are suitable.  However, the goals and endpoints are more limited than a facelift.  Patients seeking facial rejuvenation with cervical obliquity and jowls will find that a facelift is a better choice of procedure.

Endo mid face lifts went away mostly since we have such nice fillers available and approved but the FDA that the results are not worth going through surgery.  There are still patients who are not filler candidates or who are looking for more results, so the surgery is still used when necessary.  

My personal reasons for not performing midface lifts any longer are many. Because I now perform deep plane facelifts that lift the midface, I see no reason to perform a midface lift as a separate procedure. Because fillers are so easy and effective, if someone is younger and doesn't need a facelift, but needs more midface volume, we just fill them. If they need a lot of volume we may perform fat grafting. If someone needs a facelift AND a lot of midface volume, I'll combine a deep plane facelift with fat grafting. A midface lift as a stand alone procedure is something I just don't do anymore.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers