What is Midface Lift?

Endoscopic Midface Lift Surgery

Because a lot of subjects are intertwined in face aesthetic surgeries, although they are very different approaches, it is hard to differentiate between midface lift and face lift. For this reason, I recommend you read the face lift article before reading this one. https://bravodoctor.com/facelift-surgery

Like I mentioned before, aging is separated between stages and these stages have different treatment approaches. Let’s remember them:

First visible skin quality veins with the start of face aging. Skin uses its exuberance, pink colors leave their place to yellow-brown matte. There are fat islets that give the face its volume, and these loose volume with aging. Ligaments that hold these fat islets get stretched by time, and have a lesser ability to hold them in place. With early stages of the aging, fat tissue under the eyes and cheeks begin to separate. Both have different types of ligaments and fat tissue on the cheeks is heavier than the ones under the eyes. This creates what are known as under eye halos. Although most call this fat accumulation under the eyes, this is not correct. What happens is fast migration of the cheek fat tissue, leaving fats under the eyes alone. 

Of course the membrane that holds the fat tissue under the eye is also stretched but this is basically how it happens. We can call this Stage 1. While aging commences, cheek fat tissue gets further down, crevices around the nose begin to appear, and this is called the stage 2. While this goes on, sagging around the chin starts. He we are, at stage 3. At the same time, eyelids and eyebrows begin to drop and sag, beginning at different stages. When the neck starts to join in on this anarchy, stage 4. will be reached. 

First thing to do is move everything to their correct positions. For stages 1 and 2 that were mentioned before, approach is midface lift

But where is midface? Midface is described as the area between grooves around the nose, vertical alignment lips’ edges, and outer edge of the eyes. 

Sagging on the midface isn’t always caused by aging but can be an anatomical problem like sagging cheek, or halos under the eyes. In this case there is no need to wait for the aging, you can be a candidate for midface lift.

This operation can be done with various techniques. With an incision on the scalp, the midface can be reached endoscopically or with an incision on the lower eyelid, or there might be a need for both at the same time. With an incision inside the mouth these approaches can be improved. 

If there is excess skin under the eye, eyelid incision is inevitable.

The surgery is done under general anesthesia. It takes 2 ½ hours for midface, 4 hours if the cheeks are operated. 30 minutes are added for the eyelids, for eyebrow or temporal lift, 1 hour is added. After the surgery, there will be paper bandages that will stay for 5 days under the eyes. If cheek lift is performed, there will be elastic bandages on them. We don’t usually use drainage. There might be temporary bruises and swelling. This last approximately 2-3 weeks. 

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