Liapakis IE. “Redraping blepharoplasty with midface lift”. 2d International Meeting on Facial Aesthetic and Reconstructive Surgery, 01-03 September 2011, Kos, Greece
Unlike a standard facelift which primarily addresses sagging in the lower face and neck, the midface-lift is beneficial for those who have early signs of facial aging in the area of the cheek below the eyes.However, midface lifting can be performed as part of a conventional facelift.
The easiest approach will be in conjuction with blepharoplasty. The incision is made along the lower eyelid and the underlying tissue of the midface is gently raised vertically and laterally. Any resulting excess skin is then removed.
Another method of performing a midface-lift involves making small incisions in the temporal area and the lateral aspect of the lower eyelid. It can be done in conjunction with a brow lift. The midface is re-positioned and both the sagging cheek (malar fat pad) and the SOOF (SubOrbicularisOculiFat) are lifted together with underlying muscles.
The midface lift can finally be conjucted with a face lift. An incision is made along or behind the hair line, along the ear, inside the tragus and sometimes behind the lobule. One suture is put along the ramus of the mandible to lift the "jawls", another one to lift the neck and the last one to the malar fat pad. This suture provides a sufficient elevation to the midface.
The scar hardly can be seen even in bold men and results particularly in correction of hollowing below the eyes, sagging around the mouth as well as improvement of the nasolabial folds. The procedure can be done by general or topical anesthesia with sedation and the swollen sometimes takes 3 weeks to be diminished.