What is a Endoscopic Midface Lift?

A Endoscopic Midface Lift is a surgical procedure, often assisted with an endoscope performed to improve the effects of aging on the middle one third of the face, specifically the area between the eyes and the lips. The surgery is intended to counter the effects of aging and gravity on the skin of the face and create a more youthful appearance. This technique does not improve jowl appearance or forehead wrinkling.

A endoscopic midface lift can be performed for one or more of the following reasons:

  • to create a more youthful appearance to the middle one third of face between the eyes and lip
  • to reposition ptotic cheeks and improve malar volume
  • to improve descendent melolabial folds and lower lid-cheek junction
  • as and accompanying procedure to the endoscopic brow lift for patients that do not have sagging of the neck or jowl formation

What is the most appropriate age for a face lift?

As long as you are healthy and are able to undergo anesthesia there is no age limit for a mid-face lift.

Could I benefit from a face lift?

You may be an appropriate candidate for a endoscopic midface lift for one of the following reasons:

  • you are unhappy with the effects of aging in the middle one third of your face
  • you wish for a more youthful appearance of the middle one third of your face with strong, high cheeks with less prominent melolabial folds and smoother transition from lower lid to cheek.

How is face lift surgery performed?

Under general anesthesia an incision is placed in the hair bearing portion of the temple region. Then a flap is formed and extended along the malar bones under direct vision from an endoscope. The flap consisting skin, muscle, and periosteum is pulled in a vector opposite to the gravity,  and anchored with sutures. Then the skin incisions are sutured. The removal of excess lower lid skin through an incision placed just below your eyelashes is often needed as a part of the procedure. The same technique will be applied to the other side of your face.

Will I need to shave my hair

No, shaving the hairs before surgery is not needed.

Will I loose some hair during the procedure?

The incision that is placed in your hair is performed in a manner to preserve your hair follicles and no any skin is removed during the procedure. The closure is performed with staples which allow removal without damaging hair follicles.

What can I expect after surgery?

You should be prepared for moderate swelling and the ecchymosis of the skin. The degree of swelling and ecchymosis differs markedly from patient to patient. Most swelling will subside after 7-8 days and ecchymosis will barely be visible after 2-5 days. Complete healing will take 3-6 months but the major part of this process is most often completed 3 weeks after surgery. Ice packs to prevent or alleviate swelling and bruising are used for 1-2 days. You will be asked to refrain from strenuous exercise for 2-3 weeks.

Will I have a bandage or dressing after surgery?

Yes, you will have a bandage after surgery wrapped around your head to apply pressure over the temporal region and to minimize the risk of a blood collection under the skin (hematoma). The bandage will be removed a day after the surgery. You will use an elastic bandage for the next few days. The drains placed behind the ear to prevent blood from collecting under the skin will be removed a day after the surgery as well. Removal of the bandage and the drains are typically also pain-free.

Do you need to remove the sutures?

The sutures in the temple region is removed a week later. The procedure of suture removal is almost always painless.

Will I be in pain after the surgery?

After surgery pain is minimal to moderate and is usually well managed with pain medications.

Will I have any visible scars?

Incisions of mid-face lift surgery are placed inside of the hair and below the eyelashes on lower lid where they will leave barely perceptible scars.

What are possible risks and complications of face lift?

Hematoma formation: this is the collection of blood under the skin. This is easily recognized and will require intervention. This is a rare complication

Infection: infection of the surgical site is very rare. It is usually treatable with antibiotics.

An injury to the forehead branch of the facial nerve may occur leading to weakness and decreased motion of the forehead on that side. This is usually transient and resolves in 3-6 months.

Loss of hair/loss of sideburns: some hair follicles may be injured during surgery and this may lead to loss of hair. This is also a very rare complication.

Asymmetry/Pinched face: after surgery you may observe that one half of your face is asymmetric to the other side of your face. This is most often temporary and will correct itself in 3-6 months. You must be aware that no human face is completely symmetric and keep this in mind before and after surgery.

Is it possible that I will need revision surgery?

It is impossible to stop the effects of aging and after surgery this process continues. In time your face will age and the effects of surgery will decrease. The aging process is extremely variable among people so it is impossible to tell how long the effects of mid-face lift surgery will last, but it is generally excepted that the results of surgery last 5-10 years.

How long will I be off from work?

Endoscopic midface lift. Generally speaking you may start working 7-10 days after surgery. However, the prolonged edema of some cases may take 4-5 months to completely disappear.

Endoscopic Midface Lift. Can I wear make-up?

It is not advisable to wear make-up until after the third day of surgery but may be applied after this time.