As you age, collagen and elastin levels naturally diminish. Loosening of the skin and consequent sagging facial features, especially in the cheek areas and underneath the eyes, results in concavities in the cheek and deepening of the folds next to the nose and mouth (nasolabial folds).
The midface lift procedure was developed to reverse these effects in this area in particular. It can restore fullness to these areas and create a refreshed and more youthful look.
The surgery focuses on the triangular area between the corners of the eyes and the corners of the mouth. Your doctor works to reposition the face’s underlying fat and muscles, pulling up the middle part of the face. When he is finished, the cheek fat rests back up on the cheeks where it was in your youth.
The procedure is a recent one in the cosmetic surgery world and has attracted the attention of many patients in their thirties and forties, seeking to arrest some of the early signs of aging. If interested, please see the link to Dr. Heffelfinger’s article on midface lifting published in the well respected journal Archives of FACIAL PLASTIC SURGERY PHILADELPHIA.
The midface lift differs from a full facelift in the facial areas it covers. Generally speaking, a facelift addresses different areas than the midface lift and includes surgery of the jaw line, and neck.
In your initial meeting with Dr. Heffelfinger or Dr. Krein, your doctor will review your medical history in detail. Be prepared to discuss any previous facial surgeries, current and past medical conditions, as well as all medications you are currently taking.
The doctor will then talk with you about your expectations and goals and the specific changes you would like to see in the appearance of your face.
Based on his years of experience with this procedure, he will point out various options and alternatives and suggest the best approach to achieve your goals. He will show you before and after photographs of patients who have undergone similar surgery to give you an idea of the results you might expect. He may also mention procedures that may complement the results of your midface lift, such as an endoscopic brow lift and blepharoplasty, which might be of interest to you.
By the end of your consultation, you will have a complete picture and full understanding of the midface lift: surgical procedure, surgical facility and anesthetic options, recovery time, and costs involved.
Take this opportunity to ask any questions you have; our goal is for you to feel fully informed and comfortable before making your decision about this surgery.
The doctors at Jefferson Facial Plastics are well-trained with many years of experience and pride themselves on their patient care, from initial consultation to the procedure itself and through to final recovery.
The surgery may be performed in our state-of-the-art procedure room or at out outpatient surgical facility, the Jefferson Surgical Center. In rare instances, your doctor may advise a hospital admission. He may use a local or general anesthetic, depending on the particular approach and your preferences. The procedure usually last no more than an hour or two.
Small incisions are made on the scalp, just above the ears. Sometime, a second incision is made either in the lower eyelid or inside the mouth. All incision scars are invisible because they are in the hairline or in other inconspicuous areas.
The exact movement of facial tissues will vary with each patient but generally speaking they are lifted in a direction paralleling a line from the inside of your nose to the outer corner of your eye.
The procedure is completed when your doctor uses sutures to grasp these tissues and fixes them in place under the scalp incision. The skin on the scalp is adjusted in the same direction. The result of these two movements completely rejuvenates the region of the cheek and around the outer corner of the eye.
Ancillary procedures that are often recommended to complement the midface lift include browlift, blepharoplasty, fat grafting, Botox, and injectable fillers. We use this combination approach to give you the best, most natural results. Your doctor and his team will discuss which of these approaches will work best for your desired goals and personal characteristics.
Post-surgery effects with the midface lift are similar to those of a traditional FACELIFT PHILADELPHIA. You will experience some swelling and bruising and may have some pain, but your doctor will prescribe pain medication if necessary.
The swelling and bruising typically subside in five to ten days. Some patients experience itching as well while healing takes place.
Your doctor will remove sutures in seven to ten days. You should refrain from strenuous activity for at least four to six weeks to prevent any injuries to your incisions and to allow your face to adjust to the surgery.
Your doctor will advise you on how to best facilitate your recovery and return to work. Be sure to follow his recommendations and make all follow up appointments. Doing so will allow you to most quickly return to your normal routines and enjoy the new sense of confidence your midface lift will give you.