As we age, our entire face and our entire neck sags and droops.
From the top of our forehead to the bottom of our neck, the
years take their toll, robbing us of our freshness and our
vitality of appearance.
The mid face is the area between the lower eyelids and the mouth.
Over time, gravity, repeated muscle contraction, and lifestyle
choices cause the skin, fat, and muscle to sag downwards.
Sagging of the mid face accentuates aging changes around the
mouth, cheek and chin. This results in apparent puffiness in the
lower eyelids, under eye circles (tear trough deformity),
deepening of the line between the nose and the corner of the
mouth (nasolabial fold), sagging cheeks, and thinner lips with
For many years,
cosmetic facial surgeons have concentrated on the forehead and
eyelids (the upper third of the face) with procedures such as
brow lifts and eyelid lifts. They have also emphasized treatment
of the jowls, turkey waddle, and the neckline (the lower third
of the face) with facelifts and neck lifts. Only very recently
was needed attention finally given to the mid face where new
techniques have been developed to address the age-related
changes to this vital area. After all, does anyone really want
an improvement in just 2/3 of their face? If you are
rejuvenating the upper and the lower face, wouldn’t it be better
to complete the job with a mid face lift?
The mid face lift elevates the cheek, skin,
fat, and muscle vertically to compensate for gravity’s downward
pull. The goal is to restore the mid face to its proper,
youthful location and to correct sagging cheeks, smooth out
nasal furrows, pull up the down-turned corners of the lips, and
relieve under eye hollowness and eye circles (tear trough
Cheek bags can be very distressing to any
individual. I commonly see patients with these who request lower
eyelid surgery. By demonstrating that these bags are actually
below the lower lids and below the bony orbital rim, I am able
to demonstrate the need for a mid face lift, not eyelid surgery,
in order to relieve their problem and to restore their
appearance. In my hands, these are some of my happiest patients!
It is a real joy that I am able to help them and to correct a
problem which has caused them so much anxiety and distress.
Other names for a mid face lift include
mid face lift, vertical lift, cheek lift and SOOF lift. Thread
lifts such as the Feather Lift and the Silhouette Lift also may
be used to address the aging changes of the mid face but they do
not provide the full vertical improvement of a true mid face
Clinical Descriptions of Selected Patients
Mid Face Lift Surgery
Before and After Photos
While there are several different approaches to the mid face, the
goals of the surgery are to suspend the deep structures
vertically to correct cheek descent, and to restore the natural
convexity and fullness of the lower eyelids, cheek and mid face,
while greatly reducing the unsightly furrows of the nasolabial
folds and of the tear trough. Whether done at the same time as
upper and/or lower facial and eyelid procedures, a mid face lift
will produce a natural, youthful, rested appearance without
looking overdone or excessively pulled.
A mid face lift should ONLY be performed by
surgeons who are most experienced in advanced lower eyelid and
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