Mid-Facelift

If you’re Considering a Mid Facelift . . .

As we age and over expose ourselves to the sun, our skin and the fat over our face tends to sag. This affects more over the mid face (cheek area) and results in nasolabial folds (laugh lines form the side of the nose to the lips). Some develop jowls and in others the neck tends to sag. The fat in the midface tends to drop vertically down and this results in a deflated face. A Mid face lift cannot reverse the effects of aging but it can certainly can turn the clock back so that you look a decade younger.

The cheek fat pad is that fat that overlies your cheek bone.

It is extremely important to correct the cheek fat pad and elevate it to the new position just like you had it 10-20 years ago. In the past the cheek fat pad has been lifted up and out resulting in a wide cheek appearance that most patients did not like. Now a new FDA approved technique is available to elevate the cheek fat pad vertically up and therefore prevent the problem of widening of the cheek.

A new and FDA approved revolutionary approach to cheek lift (midface lift)

These devices are called Endotines® and they can be used to elevate the brow, the cheeks and the neck. They provide a fast secure and reliable method of fixation as compared to a single suture. The multipoint fixation is unique and is a breakthrough in the method of fixation. It is designed for simplicity and reliability.

Endtotine cheek lift: A more youthful face is a full face not an empty deflated sagging face. Endtotines® are now available to lift the cheeks too.

They can be combined with your lower eyelid surgery without any additional incisions. If you do not need a lower eyelid surgery the device can be inserted through a small incision in the crow’s feet area and a small incision in the mouth. A small strip with the Endotine® is inserted after your cheeks are elevated and attached to the bone. Once again the device dissolves and disappears in six to nine months leaving the cheek elevated for a prolonged time. And the good news, the device in the cheek cannot be felt. The surgery can be done under local anesthesia or general anesthesia and recovery is short too.



All Surgery Carries Some Uncertainty and Risk

When a mid facelift is performed by Dr. Rane, complications are infrequent and usually minor. Your lower eyelid can temporarily sag and this will correct itself as swelling subsides. You will have swelling over your face which will take 7-10 days to subside. Smoking can impair healing and this can result in some areas not healing. It is therefore very important to stop smoking prior to surgery to reduce complications. Rarely you may have some asymmetry of face temporarily due to the swelling. This will subside.

Where Your Surgery Will Be Performed

A mid facelift will be performed in my office or at an outpatient surgery center. The procedure takes one to one and half hours to perform

Types of Anesthesia

Your facelift will be performed under local anesthesia and oral sedation or it can be performed under general anesthesia at an outpatient surgery center.

The Surgery

A mid face lift typically takes on to one and half hours to perform. If you are having a lower eyelid surgery the midface lift can be done through the incision of the lower eyelid surgery. If however you are not having a lower eyelid surgery a small incision is placed in the crow’s feet and small incision is placed inside the mouth so that you have minimal scar and tell tale signs of surgery to lift your midface. Once the incision is placed, the cheek fat pad is elevated in a vertical direction and midface device is inserted to hold the cheek fat pad in more youthful position. The incisions are closed. No drains are necessary.

After Your Surgery

There will be some swelling on your face after the surgery. The swelling can be reduced by application of ice and sleeping in the upright position. Mid Facelift are not very painful and you will receive pain medications to reduce your discomfort. If you have persistent pain, please call me so I can check out whether you have a hematoma or not. There may some asymmetry of the face as there may be more swelling on one side than the other. The skin over the cheek are may be numb for a very few weeks to a month or so.

Getting Back to Normal

You will be up and about the next day or so. Take it easy and give some time for your face to heal. It may take 10 days to two weeks for the swelling to subside and you will be to visit your friends and attend social functions at that time. You can walk briskly in two weeks and you perform aerobic exercises in four to six weeks. You can apply make up on your face in a week to 10 days to camouflage your bruises if you have any.

Your New Look

As your swelling on your mid face subsides you will start seeing the results of the surgery. You will see that your cheek outline will be more defined and your face will appear youthful. You will look in the mirror and thank yourself for having the procedure.