As we age, the skin on our face is affected by the effects of gravity, repeated facial movements and life factors such as smoking or sun damage. While different people may be affected by these changes in different areas of the face, many are unhappy with the changes made to their midface. The midface is considered to include the area between the lower eyelids and the mouth, and when affected leads to sagging cheeks, puffy lower eyelids and lines between the nose and corner of the mouth (nasolabial folds).
A midface lift restores youthful vitality to the mid-face, lifting the cheeks and smoothing smile lines to achieve a natural rejuvenated look without the need to undergo a full facelift. Midface lifts are ideal for reducing puffiness under the eyes, improving the contour of the upper cheeks, and correcting nasolabial folds. Midface lifts are often performed in conjunction with lower-lid blepharoplasty to rejuvenate the area around the eyes or with implants to accentuate the cheeks.
Many patients who are unhappy with the appearance of their face, but who do not yet have sagging cheeks, jowls or banding of the neck, as it is less invasive than a traditional facelift procedure and targets certain areas of the face that a facelift cannot correct. It is often performed on patients in their late 30s and early 40s who do not yet wish to undergo a traditional facelift.
Endoscopic and Direct Midface Lift Procedures
The midface lift procedure is performed using endoscopic technology, which involves making small incisions above the ear and the temple, into which a camera and tiny surgical instruments are inserted. The incisions can sometimes be made within the mouth to eliminate any visible scarring. Sutures are used to secure fat to the tissue of the cheeks for noticeable yet natural-looking lifting. Several different techniques can be used to achieve the desired results for each individual patient. This procedure is typically performed under twilight sedation in an outpatient facility.
The direct midface lift procedure is performed through the inside of the lower eyelid and is often combined with lower eyelid blepharoplasty or fat repositioning. The direct midface lift allows direct vertical repositioning of the midface and support to the lower eyelid during primary surgery and revision surgery. The midface structures are directly secured to the orbital rim with either sutures or dissolvable implants. If a cheek implant is needed, it is placed through this approach.
The choice of endoscopic or direct midface lifting will be made after thorough consultation with Dr. Moskowitz and is tailored to the patients individual needs and concerns.
Recovery from Midface Lift
After an endoscopic midface lift, patients will usually need about a week off from work and other regular activities. There will likely be mild bruising and swelling for the first few days, which can be relieved by icing the face. Additional side effects may include numbness and muscle weakness in the treated area, which is usually mild and goes away on its own. Your doctor will discuss any potential risks of this procedure with you prior to treatment to ensure the safest and most effective results for your endoscopic midface lift.
The results of an endoscopic midface lift can help patients look up to 10 years younger, and although not permanent, they will help patients continue to look younger than they actually are. Results are visible immediately after surgery, and will continue to improve as bruising and swelling subside. Most patients are satisfied with the results of their procedure and enjoy a younger, natural-looking appearance after rejuvenating the midface.