Midface Suspension

Summary

Purpose (Indications)

Prominent buccal labial folds

Early down turning or sagging at corners of mouth

Sagging jowls

Sagging cheeks

What It Does

Re-positions malar fat pad providing enhanced cheekbones

Lessens buccal labial folds

Produces sagging a corner of the mouth and jowl area

Technique

Incision in hair and inside mouth

Dissolvable implant used to reposition sagging cheek tissues into more rested, natural position

Dissolvable sutures used to close incisions and now clips used in hair

Recovery Time

3-5 days, in most cases

Recovery Instructions

Ice compresses for first 48 hours to minimize bruising and swelling

Liquid diet for first three to five days

Sleep with head elevated for two weeks

How Long It Lasts

3-7 years, in most cases

Ancillary Procedures Commonly Performed In Conjunction With A Midface Lift

Blepharoplasty

Neck lift

Facelift

Forehead lift

Nasal surgery

Laser skin rejuvenation

Chemical peels

More Information

As we age, a pad of fibrous and adipose tissue over the cheekbone called the malar fat pad descends to a lower position in the cheek, and this results in a flattened cheek area and a deepening of the buccolabial fold. This is the fold that commonly runs from the corner of the nose to the corner of the mouth. The skin in this area is tightly adherent to the underlying facial muscles. As the malar pad in the cheek descends it results in a deepening of this fold and increased tissue redundancy in a jowl area.

Recently a new technique has been devised for a dissolvable implant that is inserted through the mouth and is secured to tissues behind the hairline in the temple area. This results in elevation of the malar pad and provides a more rested, youthful contour. This procedure tends to enhance the cheekbone area and can be used in cases for cheekbone implants (malar implants) which were required in the past. The advantages of the midface lift is that we’re using your own tissues and repositioning the tissues to their previous more youthful position. The implant dissolves over a period of time while the reposition tissues heal into their proper position.

The advantage of the midface lift is that there is minimal swelling and bruising. The procedure can be done under “twilight anesthesia” in less than an hour. Most patients are able to resume their normal activity within the next 1-3 days. While there can be some swelling and bruising, this is usually very minimal. This procedure works best in patients who have good elasticity to the tissues but have displayed early signs of aging and need to have tissues repositioned. Patients who have excess skin as well as sagging of the malar pad can have the midface lift procedure performed in conjunction with a facelift to provide the maximum aesthetic enhancement. Because the incisions are not visible, this procedure is good for both men and women who have active lifestyles and who desire a very minimal convalescence.

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