The Midface Liftting

Endoscopic midface liftting surgery

The mid-face lift surgery is named operations of mid-face (forehead-face-neck) skin sagging and wrinkles elimination, the slack elimination together with subcutaneous tissue. In recent years, the importance and effect of facelift surgery on anatomy and facial rejuvenation surgery have been demonstrated. A fullness cheekbone zone expresses youth, beauty, and freshness and gives the person a remarkable beauty. Cheeky cheeks provide face beauty even to babies. With age, the structures that hold this fat are weakened, and with a fat slide from the cheekbone, the fullness of the cheekbone disappears, and the baggy parts begin to accumulate at the edges of the nose. Face lift procedures solve this problem are double layer deep plan surgeries that we also apply. If the person is not old enough to get facial lifting and there is no sagging in the facial skin, then a surgery is performed only for the area we describe, which is called a mid-face lifting surgery.

How is this surgery performed?

There are two types of mid-face lifting surgery: -The superficial plan mid-face lifting surgery, -The deep plan mid-face lifting surgery. The Superficial plan mid-face lifting surgery is performed by an incision made on lower eyelid’s eyelash alignment. It proceeds downward from this area and the cheek fat is lifted by the junction of the bone to its original position and fixed to this area. The deep-plan mid-face lifting surgery also known as endoscopic facelift surgery. It is performed by two incisions made through the hair in the temple area and mouth. With this method, all soft tissues (muscle, fat) on the cheekbone are pulled upwards and fixed on the muscle in the temple area.

Which one of these methods is suitable for me?

Many surgeons use a deep-plan endoscopic method, but there is also a group including myself consider two types of surgery should be performed. For most of the candidates of this procedure, the superficial plan method is sufficient, also for patients who have to complain of bags on the lower eyelids superficial plan is preferred. For patients with a severe collapse of the mid-face, a deep-plan endoscopic method is more appropriate. It is best to decide which method is appropriate for you together with your surgeon.

What are the Complications of this Surgery?

The risk of bleeding and infection is negligible for this zone. Asymmetry is still a problem that may occur, albeit rarely. The slack and opening of stitches used to hang the tissues may also occur. There is a possibility of pull-out feeling under the eye after surgery performed with an incision below the eyelashes. Loss of sensation and temporary muscle function losses may occur due to damage to the nerves passing through the surgical area. There is a possibility of temporary hair loss in the case of incisions in hairy zones, but fallen hair will grow again. Especially after the deep plan technique, long-term excessive edema (swelling) may be seen in the surgical area.

For which age group patients these operations are applied?

Mid-face lifting surgeons address to patients in their twenties and thirties. However, subcutaneous fat tissue (in particular, fat of cheek) impairment begins to appear, and in order to correct it, the soft tissues in the mid-face area are pulled up.

Will the non-surgical, “V” lifting procedures compensate these surgeries?

In recent years, stretching operations are carried out on certain parts of the face thanks to the thread produced with various characteristics. Especially, rhytidoplasty or facial lifting procedures with thread should not consider equal with surgeries performed for the same purpose. These procedures preferred because they are simple and can be performed in Clinicals, but tissues that are attempted to be lifted by threads are skin tissues and fat that are right under the skin. And since they do not separate from their own structure the lifting effect of the threads is not sufficient and may lose its effect in a short period of time, also they may cause problems such as a feeling of the threads by hand, long-term pain and nerve damage. The risk of asymmetry created by the procedure is much higher than other operations and even tough it is presented as an alternative to patients who do not want to have an operation, this procedure does not meet the expectations in terms of results.