What do you think of a temporal mid face lift?

A mid face lift does not give the same results as a regular facelift and does not lead to any improvement of the lower cheeks. I rarely recommend it, but for the right patient, it can lead to good results.

If you look at before and after pictures of endoscopic temporal midface lifts (and midfacelifts in general), you will see that most patients have relatively subtle results. With any given patient  and any given surgeon, results will vary, but generally a skin-SMAS facelift (of which there are many different variations and names for procedures) will generally show more decisive and pretty results with well hidden incisions. Thanks for your questions. This is a great topic. 

Without standard photos, I can't comment on the specific procedure relative to your anatomy and needs. That said, a midface lift can be a good procedure for people who have cheek and lower eyelid issues. It is not effective for lower face or neck issues. Generally, in my opinion, this is a procedure for younger patients and should not be considered a substitute for a facelift. 

For this reason, no general answer can be safely offered to you.  I suggest in your search for revisional surgery you seek multiple opinions regarding what is the best approach or option for you.  Be careful what you look for out there.

Dear justbeethical,
Thank you for your question. A mid face lift including the teporal area is helpful if there is significant laxiety in this region. These procedures generally last 8 - 15 years and sometimes longer. It will not help the jawline that much.

Hello, 
    Thank you so much for your question! I have to give you a disclaimer, I love facelift surgery. It is hands down my favorite cosmetic procedure. Without pictures or an in person consultation it’s hard to say but from what you seem to be indicating filler,fat transfer, or cheek implants may accomplish your treatment goals. In that order from least to most invasive these are all great ways to add volume to your midface! In my practice I have found that unlike the neck jowls and brow which respond well to lifting, the midface does much better to volume augmentation. Tightening it lifting proceedures to the midface often leave patients unsatisfied. I see many post midface Lift patients on second opinion who are unsatisfied but go on to fully enjoy more fullness in this region! 
When it comes to deciding on treatment my best recommendations are to meet your prospective surgeon, check out their facility, review their photo galleries either in the office or online and lastly if you feel the need speak to their prior patients. I always have patients willing to tell prospective patients about their experience in my care. I hope that helps and best wishes on your upcoming proceedures!
Dr G

Hello  Justbeethical,
Temporal midface lift may result pretty good result with concomitant fat injections. I use this technique with non absorbable sutures without cutting or excising the skin and almost always use micro-fat injections at the same time. The results are comparable with the surgical midface lifting including longevity. There in no down time because there is no cutting and suturing the skin. The only problem is reasonable swelling and bruises due to the fat injection and this resolves in one or two weeks.
Best regards  

A compromise surgery (less incision, etc) will yield a compromised result.  Since no photos are supplied it is impossible to be definitive.

 Hi, I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts.  Non smiling photos of your face from the front and side would help in the evaluation.   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).  In my humble opinion for a procedure to be a "proper facelift" it must have the following:  an incision around the front of the ear to remove excess skin; properly dissect/lift/trim the SMAS layer (this SMAS technique is called imbrication) and finally the procedure should allow/ for aesthetically shaping of the face making it either more feminine or masculine.  The temporal procedure may be missing one or more of these steps, which in my mind makes it far less effective at creating a naturally more youthful and attractive 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.  If the cheeks are flat or concave 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.
 If the chin is weak, this 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 the main 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.