What is a Mid-face Lift?
To counter the effects of aging, many patients consider a mid-face lift (also known as a cheek lift). As aging occurs, gravitational factors and volume loss - along with skin laxity - all contribute to descent and sagging of the cheek and mid-face areas. This results in a more aged appearance and deeper nasolabial folds.
Volumizing procedures, such as fat transfer and injectable fillers are often part of the solution, as well as mid-facial or cheek implants, which are permanent.
However, a mid-face lift is often desirable to correct the ptotic areas. This may be accomplished as a standalone procedure, or as part of another facial rejuvenation procedure, including face lift, lower blepharoplasty or even a brow lift. The result is a more youthful fullness in the mid-face region, often with improvement in the nasolabial folds and cheek contours.
A consultation is always advised to determine the best approach to mid-face rejuvenation, along with other facial options.
Face & Neck Lift
The Causes of Face & Neck Sagging
With many different techniques and procedures, the facelift—or rhytidectomy—has become one of the most popular cosmetic procedures.
Aging of the face inevitably occurs - no matter how much we focus on our health, weight and nutrition. Chronologic aging of the skin and soft tissue—combined with gravitational changes—leads to sagging in the midface, and often, some degree of volume loss due to fat pad shrinkage or atrophy. Jowling and fat deposits form, along with neck skin laxity and vertical platysma muscle bands caused by muscle separation in the midline of the neck. Skeletal factors can also play a role.
Modern Face & Neck Lift Techniques
Modern face and neck lift techniques have evolved to appropriately address the degree and severity of each of these factors in each patient. Unfortunately, there is no "one size fits all" technique, and the right kind of treatment depends on the person. In addition, patient expectations and specific desires play a role in the type of face and/or neck lift procedure.
In general, facelift techniques lift and tighten the SMAS (superficial muscular aponeurotic system) connective tissue layer with more vertical and posterior vectors, while neck lifting lifts and tightens the platysma muscle in a more posterior direction to reverse gravitational changes. These maneuvers improve jowling, sharpen the jawline and submental area under the chin.
In addition, extended SMAS and deep plane facelifts improve cheeks and the midface to a more significant extent. Occasionally, a mini-lift or isolated neck lift is all that is required to achieve the desired result for a given patient.
Face and neck lift incisions are placed so as to be inconspicuous, hidden in the hairline and natural creases in order to avoid leaving telltale signs of surgery. At the conclusion of the procedure, precise reshaping of the skin, trimming of excess skin, and layered closure with sutures completes the operation.
The facelift procedure is usually performed under IV sedation with a long-acting local anesthesia for postoperative comfort. A bulky, gently-compressive dressing is worn for one or two days, and then only an elastic, supportive garment for five more days. Suture removal begins at Postop Day 5, and is completed by Postop Day 10.
Postoperative pain is only moderate, but patients should expect a moderate degree of swelling, mild bruising, and a sensation of tightness in the neck. All of these will resolve in time. Some numbness is always present temporarily, but can also last from several months around the ears. Recovery from face and neck lifts is related to the extent of the procedure, but lasts from 10 days to three weeks, in most cases. Return to work and social activities averages around two weeks or so.
The decision to proceed with a facelift or neck lift is made in consultation with the surgeon who will select the appropriate technique, and discuss possible adjunctive procedures. These can include skeletal augmentation, liposuction, volumizing with fat transfer, skin rejuvenation, and more. In addition, all the risks, benefits and costs are related by the surgeon and our staff, as well as scheduling options for this popular and highly effective procedure.
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