Is midface suspension the same as a subperiosteal lift?

The extent of the facelift operation is tailored to each patient's needs and can range from:
A mini lift: a small skin excision from in-front of the ear that tightens the skin along the jaw line in younger patients, to 
A lower face and neck lift: an extension of the mini lift that brings the incision higher in front of the ear to the sideburn and further back behind the ear into the hairline to tighten the neck and reposition the deeper soft tissues of the face to efface neck bands, lift the jowls, and add volume back to the cheeks (a cheek lift), to
An midface and lower face and neck lift: a further extension of the incision higher in-front of the sideburn to allow tightening of the upper face — addressing the crows feet and midface.  
A sub-periosteal lift refers to mostly historical surgery where the facial tissues are lifted off the bone in order to elevate them. As our understanding of the details of facial aging has improved, the surgery has fallen out of favor because the surgical technique ignores the fact that the deeper tissues do not sag with aging, because it has a high risk of complications, and because the recovery from surgery is very prolonged and painful. 
See the link below for more info on facelifting.A detailed examination will help delineate the best surgical option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.

These are different procedures, done for different reasons, and have differing recovery periods. Mid face suspension involves lifting the mid-facial tissues and fat pad, and suturing them into a higher position. Subperiosteal face-lifts have fallen out of favor because of the excessive swelling and prolonged recovery time associated with this procedure.  Your plastic surgeon will discuss with you the different procedures that will improve your facial appearance.

Midfacial suspension can be achieved with  a variety of techniques including a subperiosteal midface lift, a high SMAS lift, or suture suspension midface lift.  Often times, I use volume (Sculptra, Voluma, or fat) to lift the cheeks without need for surgery.  The term subperiosteal refers to the approach to the cheek, lifting the lining of the maxillary bone; I rarely use this approach due to the benefits of alternative techniques these days. 

A midface lift can be done with SMAS manipulation or via the subperiosteal plane.  More typically it refers to elevating tissue in the subperiosteal plane and suturing it up to temporal fascia.  However, the SMAS approach has shown more natural results with quicker recovery.  

Hello and thank you for this question. To answer you directly, these are different procedures.
A subperiosteal lift is an older facelift procedure targeting the mid- and upper-face which has since been replaced by newer techniques which offer greater patient safety and comfort, better results and faster recovery times. During this procedure, your doctor will lift the skin off the bone and reposition it in order to achieve the desired outcome.
The suture midface suspension facelift — or threadlift — is a minimally-invasive alternative. The technique lifts and anchors facial tissues using sutures applied through 1 centimeter incisions. This technique has several advantages such as its short recovery time and price, however, it is not a long-lasting procedure and can have unique complications including suture breakage.
To find the procedure best suited to your individual needs, schedule an in-person consultation with a local, board-certified facial plastic surgeon in your area. Good luck!- Elbert T. Cheng, MD

Most plastic surgeons consider midface suspension to be elevation of the soft tissue including the fat pad separated ,from the underlying muscle and sutured to the tissue next to the eye socket. So periosteum facelift requires elevation of the soft tissue including muscle off of the underlying facial bones. This is a more extensive procedure that has fallen out of use because of the prolonged swelling,, increase morbidity ,and in the opinion of many plastic surgeons, does not achieve a better result

Thank you for the question.  The term "mid face lift" or "mid face suspension" refers to the the area being lifted, which can be done my multiple approaches, whether SMAS plication/suturing or subperiosteal.  I hope this helps. Good luck! 

I don't think so.  A midface lift usually involves the triangular area beneath the eye,  A subperiosteal lift is generally a type of facelift which involves the cheek, jaw and neck areas.  When you have your consultation, your surgeon should go over in detail your concerns and how to address them.  Find an experience Facial Plastic surgeon and all your options should be explained.

 Hi, I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts.  The reality is that there are many different ways to perform a facelift from incision length, incision placement, level of tissue dissection (skin only, SMAS, Deep Plane, Subperiosteal), different degrees of tissue undermining, how to lift and support (imbrication versus plication of the SMAS layer), how much excess skin to trim, is excess fat going to be reduced and finally will the overall shape of the face be made more feminine or masculine (while avoiding the over pulled, windswept appearance).  Suspension techniques can similarly be performed in various manners based on where, how many suspension sutures and type of sutures are used.  In my opinion a proper SMAS facelift when combined with proper shaping of the face provides the most natural enhancement of the face.
 Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
 A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.   I have found placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
 If you have "jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.