The midface is an essential component of an attractive face. With aging process, fat tissue that normally drapes over the cheekbones begin to droop with gravity. Due to the laxity of the skin and lack of subcutaneous supports of the midface, the fat of the lower eyelid and upper cheek begins to droop. The result is less prominent cheek volume, hollowness under the eye (tear trough area), redundant skin and excess fat at lower eyelids and prominent folds between the cheek and nose (nasolabial fold). Sagging cheek fat can also alter the appearance of the lower cheek. In addition to these changes, there is also volume loss from the cheek with aging resulting in loss of cheek fat and muscle.
Midface lift (cheek lift) is a cosmetic surgical procedure that is performed either alone or in combination with other procedures to rejuvenate the areas around the cheek and lower eyelids. The goal is to reposition the sagging fat of the cheek over the cheekbone and to restore the cheek volume. The droopy cheek tissue can be lifted up over the cheekbone restoring the more prominent youthful contour, improving the lower eyelid-cheek junction including tear trough area and softening the undesirable cheek fold.
Depending upon severity of the condition, midface lift can be performed in several ways, including endoscopically via incisions hidden behind the hairline in the scalp, directly through a standard facelift incision (in front of the ear), directly through a lower eyelid incision or fat grafting to restore and augment the cheek volume. Often midface lift can also be combined with additional cosmetic surgical procedures such as upper eyelid blepharoplasty or browlift to order to achieve desirable aesthetic outcome. Thus, the outcome of midface lift alone or in combination with additional procedures help to transform into a more youthful and fuller appearance, reduction of tear trough deformity and excess skin under the eyes, and softening of the nasolabial folds.