Is it normal to have endoscopic midface lift and deep plane full face lift together?

Question

Deep plane full face lift can lift cheek too, but not vertical way as midface lift. Is it common to have both procedure together for max result ?

Semih Yildiz, MD, FEBOPRAS · Answer

A deep plane facelift and an endoscopic midface lift can be combined, but it is not automatically necessary for every patient seeking cheek improvement.

The reason is that the two operations address overlapping but not identical vectors. A deep plane facelift can improve the lower face, jawline, neck, and some cheek support, while an endoscopic midface lift is more focused on vertical elevation of the cheek and lower eyelid-cheek junction. In a patient whose main issue is true midface descent or a long lower eyelid-cheek transition, adding a midface lift may make sense. In another patient, a well-planned deep plane facelift with fat grafting or other adjuncts may be enough.

The decision should be based on a face-to-face exam, skin quality, cheek position, lower eyelid anatomy, prior surgery, and the amount of lift needed. Combining procedures can increase swelling, operative time, and risk, so the goal should be the most precise plan for the anatomy, not simply doing more procedures for a maximum result.

Stephen Prendiville, MD · Answer

A properly performed deep plane facelift is self volumizing, raising the malar pad and achieving cheek fullness.  If further volume is required, injection of Sculptra (my preference) or fat can help to provide more fullness.  An endoscopic midface lift provides no additional benefit, although it does add risk and isn't talked about or performed very much in 2023.

Douglas K. Henstrom, MD · Answer

It is not uncommon to have both of these procedures done at the same time. While certainly not the best or right option for some patients, it does work and can be done for those who do need more of a vertical lift at the midface/cheek area. Part of that will depend on the extent of the descent of the tissues of the cheek and malar area, and the best way to lift them to the more youthful anatomic area. Part of it will depend on which physician you see and how they treat things.Best of luck.Dr. Doug Henstrom, Utah Facial Plastics

Selcuk Inanli, MD · Answer

Hello ! Thank you for your questionwithout your face photos it is very hard to make an evaluation of your case. If you could provide photos and more information I would be able to evaluate your case in a more appropriate way. But from my experience a single operation can be enough, facelifting or midface completely depends on the result you want to get,here surgeon experience is very important.
Thank you regards

Lucian Ion, FRCS · Answer

Thank you for your question.

Although the deep plane facelift is not a formal mid-face lift it has a very strong component of mid-face elevation. As such, combining the deep plane facelift and mid-face lift is generally unnecessary but there may be compelling reasons why this treatment could be indicated. This could be for instance to incorporate treatment for a more problematic corrective lower eyelid blepharoplasty that requires extensive mobilisation in the mid-face.

Combining the deep plane facelift with the temporal lift enhances the mid-face elevation options and probably matches or exceeds the effect of many mid-face lift interventions.

Zoran Potparic, MD · Answer

There are multiple, usually not very different way to perform face lift. Deep plane face lift is one of them; many surgeons do not use it these days. When face lift is performed, regardles of the technique, cheek lift should be part of it, if needed. Augmentation of the cheeks with fat grafts in the same procedure, have significantly reduce the need for cheek lift, since it is a deflation rather than true sagging that causes cheek flatness. However, only on the basis of in person consultation, a board certified plastic surgeon with expertise in facial rejuvenation will be able to discuss the best options for you. Do not be surprised if you hear different opinon about techniques. Select the surgeon you trust and let her (him) decide about technique. Hope this helps. Good luck.

William Portuese, MD · Answer

In our practice, we do not perform a mid-face lift because the mid face does not descend vertically with aging process.  The midface looses volume, therefore we insert cheek implants to improve the lost volume in the mid face. A lower face and neck lift procedure accomplishes tightening loose facial and neck skin, tightening  loose facial and neck muscles, removing fat deposits in the neck and lifting the jowls.

Ronald J. Edelson, MD · Answer

I don’t know how typical it is to do both. But I can assure you that you do not need the midface lift at all. It is a waste of money. If this has been recommended to you you should go elsewhere

Is it normal to have endoscopic midface lift and deep plane full face lift together?

Answers (8)

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