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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 3-5 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
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. 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, which 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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