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Mid-facelift

The mid-face, also known as the cheek pad, is a combination of fat and fibrous tissue beneath the skin. It is not well supported and as those already weak support structures weaken further with time the constant effects of gravity cause a vertical descent of the mid-face.

In Dr Yousif’s opinion, mid-face descent along with aging of the neck maybe the most important parts of facial aging. The descent of the mid-face creates many of the most significant visible effects of aging, including deepening of nasolabial folds, jowls, marionette lines, visual lengthening of the lower eyelids, a sub-malar depression and widening of the lower part of the face. Many different types of procedures have been proposed for mid-face restoration. Most techniques involve some type of elevation of the descended mid-face upward and outward. Unfortunately that does not correct most of the problems of mid-face aging. The lower eye lids, the malar depression and the nasolabial folds are all not improved. Beyond that the face takes on an unnatural look because the fat layer has been placed in a place it was never intended to be. Some surgeons are injecting fat into the cheek area to make up for the lack of replacement of the mid-face. This just gives the face an unnatural round look.

Mid-facelift Diagram

Natural Looking Designed To You.

Although each person's results will differ, before and after photos are good examples of potential changes. They should be used not only as a comparison of techniques and surgeons, but are good starting points for evaluation, comparison and discussion with your surgeon. Please note that these are post surgical photos that are not suitable for all audiences. Viewers should be 18 or older to view the gallery images.

See More Before and After Photos >

Anesthesia and Surgery Facility

In most instances the procedure is done under general anesthesia but depending on the patient’s desires it may be done under local anesthesia with some type of sedation.

Side Effects

There is expected temporary discomfort, swelling, and bruising. A temporary feeling of tightness may also be possible.

Smoking

Smoking may be one of the most important factors that increase the risk to facial surgical complications. If you are a smoker, you will need stop smoking for least two weeks before the surgery and two weeks after. You must not smoke for this time period to ensure proper healing, because cutting down is not adequate. Nicotine gum and nicotine skin patches can lead to the same healing problems caused by smoking.

Other Medications:

Some medications that increase bleeding times may add to the risk of bleeding during any surgery but especially during facial surgery. It is important to discuss all medications that you are taking both prescription and over the counter.

Risks

These include infection, pooling of blood beneath the skin (hematoma), and loss of sensation.

Recovery

Bruising is usually minimal but may last 2-3 weeks. The patient is usually asked to limit motion of the neck over the same period of time.

Duration of Results

Results may be enjoyed for 7 to 10 years.