Best facelift to smooth midface area? (photos)

Hi. Thank you for sharing your inquiry.
It’s difficult to provide a precise diagnosis based solely on the photos you’ve shared, but based on the visible signs, I would recommend a Lower Blepharoplasty and Fat Grafting on the upper medial malar area and nasolabial fold to restore volume and create a more youthful appearance.
While it’s likely that there is overall sagging across the face, the photos primarily show loose skin under the eyes. A percutaneous lower blepharoplasty could address this issue and also provide a slight mid-face lifting effect, which may be beneficial for your concerns.
Of course, if you’re looking for a more comprehensive lifting effect across the entire face, a Deep Plane Facelift combined with a Neck Lift should be performed at the same time. This procedure could offer fast recovery with remarkable improvement.
It’s important to note that after Fat Grafting, typically only 30–40% of the fat survives long-term. Injecting a large amount of fat at once can lead to complications and uneven results. To achieve a natural outcome, it’s highly recommended to use appropriate amounts of fat and perform the procedure over multiple sessions if needed.
For a more detailed and accurate diagnosis, it is recommended to have an in-person consultation with a specialist.
Thank you.
-Dr. Min-Hee Ryu M.DDeep Plane Facelift

In general, the deep plane facelift provides the most significant impact on the midface.

When the deep plane facelift is associated with extension of the scar on the edge of the temporal hairline, it can incorporate tensioning for the muscles of the lower eyelid.

This produces also smoothing out effect for the front of the cheek that goes beyond the typical facelift impact and could be beneficial in your situation, in particular, if you do not contemplate fat transfer.

A type of treatment to add volume with your own tissues is Sculptra. It tends to build collagen and works by stimulating your tissues rather than by adding its own volume. And it is not influenced by intense exercise or low body fat.

An endoscopic midface lift could be an excellent option to address your concerns about midface sagging without the need for fillers or fat grafting. This technique is designed specifically to lift and reposition the midface tissues, restoring a smoother and more youthful contour.
Why an Endoscopic Midface Lift? • Targets Midface Volume Loss & Sagging: This procedure repositions the cheek fat pads, reducing hollowness and improving under-eye support. • Minimally Invasive: Small incisions are placed within the hairline, leaving no visible scars. • Natural-Looking Results: Avoids the overdone or “pulled” look, maintaining facial harmony. • Long-Lasting: Unlike fillers or fat grafting, which require maintenance, the results are more durable.