A mid-facelift, also known as the vertical facelift or cheek lift, focuses on the cheeks and under eye hollows. This procedure helps to soften smile lines and lift the corners of the mouth. It is common to also have a blepharoplasty procedure or micro-fat grafting done in conjunction with a mid-face lift.
- avg. recovery
About the Procedure
A mid-facelift targets the cheek and under eye area to give patients a younger, more rejuvenated appearance. Similar to the SMAS facelift, the mid-facelift manipulates the underlying muscles to create a longer lasting solution for those with sagging skin and facial features. The mid-facelift though, also suspends the cheek fat pad and the eye muscle to create a complete transformation for the middle third of the face, erasing fine lines and wrinkles around the temples. Once the patient has been thoroughly anesthetized, the surgeon will make the initial incisions around the hairline and forehead to access the drooping facial muscles. Incisions may also be made for endoscopes to improve visualization. The doctor will then dissect the skin from the muscle in the forehead and cheek area. At this point, the surgeon will reposition the undermined muscles to their new position. The "flap" that is raised includes the SMAS muscle, malar fat pad and orbicularis oculi muscle. These muscles will then be fixated in a higher position, closer to the temples and to the sides of the rim of the eye bone. It is common for patients to combine a mid-facelift with other surgeries such as a blepharoplasty or fat grafting procedure to enhance the overall outcome.
The goal of a mid-facelift is to lift the cheek area and rejuvenate the face by addressing fine lines around the mouth and hollowing of the lower eye.
What to Expect
A mid-facelift, also called a vertical facelift or cheek lift, softens smile lines and lifts the corners of the mouth. Here is a quick guide for what to expect before, during, and after a mid-facelift.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after surgery
- No alcohol 2 days prior
- Do not eat or drink for at least 6 hours before
- Local anesthesia with sedation or general anesthesia
- Initial incisions around the hairline and forehead
- Skin is separated from the muscle
- Facial muscle is repositioned and undermined to new position
- Skin-muscle flap is fixated in a higher position
- Sutures to close
External stitches from a mid-facelift are typically removed after 1 week. There is normally swelling and bruising that may take several weeks to resolve. Most patients can return to work within 2 weeks of the procedure. Refrain from strenuous physical activity for 3 weeks since this could make the swelling and bruising worse. Final results are usually seen after two to four months.
The ideal candidate for the mid-facelift include younger or middle-aged candidates with hollowness beneath the eyes or heaviness and sagging beneath the cheeks.
Not Recommended For
A mid-facelift is not recommended for patients with loose neck skin and more prominent signs of aging who would better benefit from a more traditional facelift approach.
Side effects from a mid-facelift may include bruising and swelling around the eyes, discomfort, and an unnatural appearing smile at first due to over-correction of the cheek pad, which will typically settle into a more natural position with time. Most patients feel well enough to return to work and other activities after about 2 weeks.