Reversing an endoscopic mid-facelift - Is it possible?

Question

Hello, I July 2021, I had an endoscopic midface lift that was performed using an outdated method (according to the surgeon). I was hoping for the procedure to slim my face and deal with my nasolabial folds, as I am young (20s) and didnt need anti-aging. However, the lift did the opposite, and made my cheeks look much puffier and more full. It also obstructs my smile movement. I'm looking to either have it reversed or somehow slim my cheeks. Will fly to any doctor in the US who can help.

Philip S. Schoenfeld, MD, FACS · Answer

Needless to say, photos would  be of benefit.  How your surgeon suspended the midface would also be helpful to know.  I think that an endoscopic midface lift in your 20's may have been a bit aggressive but dropping the midface can likely be achieved intraorally via a subperiosteal dissection of the midface tissue.  Not terribly complicated.   Over time, your mid face will also fall to its original position.

Jeffrey Lisiecki, MD · Answer

You should be seen and evaluated in person by a plastic surgeon for your concerns. It is theoretically possible to release the midface and resuspend it lower, but this should be done with extreme caution to avoid traction on the lower eyelid (among other potential problems). A safer approach might be to just address the symptoms you have now, as you will lose fat in your midface with time and the problem may ultimately solve itself, but this all hinges on physical examination and a specific discussion of the issues you are having.

Reversing an endoscopic mid-facelift - Is it possible?

Answers (2)

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