Midface lifts

Age is the most significant factor contributing to the overall change in the appearance of an individual’s facial features over time. This gradual process of structural weakening of the face begins during the third decade and continues to worsen during the remainder of an individual’s lifetime. The purpose of the midface lift procedure is to reverse some of the central third changes seen early in the aging process. This can be accomplished through a variety of techniques that have been developed to date. However, whichever procedure is used, the ultimate goal is the same. The aim is to reposition the facial tissues in such a way as to return a more youthful and rested appearance to an individual’s face in lieu of introducing an “operated appearance” during the process. In this article, we cover three techniques that we use to address the midface, depending on the individual. These include the subciliary approach to the midface, the endoscopic approach to the midface, and the use of alloplastic contouring of the midface.