Endoscopic midface lifts aren’t AS good as facelifts, if you need very little correction of midface why not opt for one?

Question

Endoscopic midface lifts aren’t AS good as facelifts but they still don’t leave a scar.

Robert M. Tornambe, MD · Answer

Endoscopic Mid-Facelifts have fallen out of favor for many reasons, but mostly because Mini-Facelifts have evolved and have proven to be a better option. My favorite technique is the MACS short scar Mini-Facelift. Developed in Europe, it is the ideal approach for the younger patient, not ready for a full facelift, or patients who desire a less invasive procedure with a shorter recovery time. I would also consider fat grafting to your mid and lower face to re-define your jaw line and fill out those areas that have lost volume over time.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  There are many options for midface rejuvenation.  The best option for you will depend on your individual facial anatomy.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Larry Weinstein, MD · Answer

Best to see an experienced plastic surgeon who can explain the options and recovery times.In special cases an endoscopic face lift maybe the best option. Albeit limited results are expected for a limited time, with potential for orientalizing the eyes. Approach this option with care. Good luck...

Adolfo Sesto, MD · Answer

No they are not, in my experience I decided not perform any more Endoscopic Facelift ( I began in 1997 with this procedure), because they do not allow me to properly dissect,elevate, trimm and re-suture the structures I need to work on to get  good and lasting results as the traditional techniques do. Scars will be hidden and conceal into the hair line, behind the ears, and only a tiny incision will pass in front of the ear. I prefer my patients  to get satisfactory results than mediocre ones, I would'nt be happy with my work either.Member of the American Society of Plastic Surgeons (ASPS)Member of the International Society of Aesthetic Plastic Surgery (ISAPS)Certified Plastic and Reconstructive Surgery

Richard Wellington Swift, MD · Answer

Thank you for posting your interesting question. Most of the aging of the face is due to loss of bone and remodeling of facial bones. Midface lifts have limited indications, often do not replace the lost bone volume, do not address jowls or neck issues, and have problems with pulling down the lower eyelid, unless anchored properly. Fillers today have evolved significantly since the days of collagen. Sculptra, Radiesse and Voluma are excellent products to restore the loss of mid face volume leading to a characteristic aged appearance. These products, when injected artistically and in the proper volumes, restore the youthful volume and convexities of the face, producing beautiful and natural results. I recommend that you bring a photograph from a few years ago along, on your cell phone, to your consultation with a Board Certified Plastic Surgeon who is experienced with non surgical facial rejuvenation. At the time of your consultation, you will be examined, discuss your goals, have all of your questions answered and have a plan as to which products and how many will be required to deliver natural results. Best wishes, Richard Wellington Swift, M.D.

William Portuese, MD · Answer

In our practice, we do not perform a mid-face lift procedure because the mid-face does not descend vertically with  the aging process.  The midface ages by loss of volume, and therefore we place cheek implants in that area to restore volume when necessary. The lateral face does sag with the aging process and therefore a comprehensive lower face and neck lift is required to rejuvenate the face and neck. For many examples of both procedures, please see the link and the video below

Samir Shureih, MD · Answer

Face lift should be a personalized surgical procedure depending on the individual pattern of aging.We all age differently and our goals are different.The Plastic surgeon should be able to analyze the face and aging process with you and based on experience offer the best technique to correct the aging process.

Robert L. Kraft, MD, FACS · Answer

Now, we have a variety of fillers as well as fat injections so I do not think that we would be fulfilling the standard of care by performing a sub-optimal procedure.  Let me add that any invasion of the skin whether via endoscope or scalpel certainly creates a scar.

Steven Wallach, MD · Answer

I think I answered a similar question the other day and it might have been yours if you posted before.  MIdface lifts have fallen out of favor mainly because of the significant risk of complications, and the fact that other techniques are available with lower risk.  Fillers can also enhance the mid face as well.

Reza Momeni, MD, FACS · Answer

Since we have so many great fillers available now, endoscopic mid face lifts have largely gone away.  If you really need it, you should consider having a proper lift done.  If you are thinking about minor changes, you should not submit to any surgery, but rather consider non-surgical treatments.  Without an exam, it will not be possible to fully evaluate you and give you recommendations. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Endoscopic midface lifts aren’t AS good as facelifts, if you need very little correction of midface why not opt for one?

Answers (13)

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