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Midface lift / Endoscopic midface lift

What is the Midface lift / Endoscopic midface lift?

The midface is the area from the lower eyelids to the nasolabial folds, which are the lines from the nose to the corner of the mouth. As we age the midface (the cheek soft tissue pad) drops producing deep nasolabial grooves and sunken cheeks. The face goes from being heart shaped with the volume of the cheeks over the cheek bones, to being more square shaped and jowly. Midface lift surgery effectively lifts the middle segment of the face by restoring the volume and fullness as well as enhancing the appearance of the cheekbones.

What is the procedure?

There are several techniques for midface lifting, which technique is best for you is based on a variety of factors including your current facial structure, previous facial surgeries (if applicable), and your aesthetic goals.

The traditional technique consists of the surgeon making incisions into the lower lash line in order to gain access to the cheeks and lower eyelids. The incision can also be made in the nasolabial fold, in wither case the incision marks are hidden. This technique is better suited for those needing their facial tissues lifting upwards as opposed to vertically or horizontally.

The midface lift can be performed endoscopically (using a small device with a lighted camera attached) or may require slightly longer incisions to lift a larger area of the midface.

An endoscopic midface lift is performed by placing a small incision (typically less than 2 cm) in the temple area, above the ear, and behind the hairline. Although incisions are small they are generally quite deep, in order for the endoscope and other instruments to be inserted with ease. The endoscope helps the surgeon internally view the work that is being carried out. It helps the surgeon in the dissection of the skin and muscles. An additional incision is placed inside the mouth. The sagging facial fat pad is then freed and elevated to a more youthful position and secured with special sutures.

What kind of result can you expect?

The result of a midface lift is a smoother lower eyelid. Fat bags are removed. The lid-cheek junction is both softened (and eliminated) and elevated, thereby avoiding the "operated upon" hollow-eyed look. Thicker tissues of the cheek are placed over the cheekbone, resulting in an enhancement of the cheekbone with the patient's own tissues. And the nasolabial fold is softened.

Recovery period and recommendations

Recovery for this type of facelift is much shorter than with the full facelift. A pressure dressing is applied for the first couple of days. Sutures are usually removed one week after midface cosmetic surgery. Mild bruising, numbness, and swelling sometimes occur, however this usually resolves within the first two weeks.

Most patients return to normal activity within the first week following midface lift surgery. The small incisions typically heal extremely well.

Possible side effects and complications

Some expected side effects of a mid lift procedure includes swelling, redness, tenderness, soreness and pain, there may be an extensive amount of bruising on the area near the nose, eye and mouth, the soreness of the face can make it painful to open the mouth to talk or eat.

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