The “usual” and “traditional” facelifting techniques focus on only the lower portion of the face or the forehead and brow area. They typically do not attend to the needs of the area of the face called the “mid-face.” The mid-face is as it implies the middle portion of the face. This is the area where most facial aging begins and progresses through one’s lifetime. It is obviously critical to give comprehensive and proper attention to this key component of the face in restoring a youthful facial appearance. Aging in this area is responsible for the loss of fullness in the cheeks, the loss of volume in the face, and the heaviness in the area around the mouth, laxity in the neck, and deepening of the folds and corners of the mouth. The aging occurs in the deep structures as the soft tissues melt in a downwards direction. The skin just comes along for the ride. The endoscopic mid face is successful because it is a minimally invasive procedure that addresses specifically the reinforcement, repositioning, of the deeper aging layers of the mid-face. This is accomplished without sacrificing facial volume as would occur with every superficial-lateral or traditional facelifting technique.
The naturalness of the endoscopic mid-facelift is achieved by designing the procedure around each individual’s needs and thus not over-operating on the patient’s face. The endoscopic mid-facelift allows us to reposition the structures and reinforce them in their original positions. This restores an individual’s youthful identity without creating distortions of the face that are so commonly seen with traditional facelifts.
This procedure typically avoids the “Nike swoop” or sweep commonly seen either immediately after or later following traditional facelifts and actually is capable of correcting this abnormality after a prior facelift has created it.
We have also found that the endoscopic mid facelift is the key to the optimum rejuvenation of the neck and neck line. Placing your fingers on the cheek area and elevating the cheek pad directly upwards also improves the neck area. By combining support to the neck from both above and below a better and longer lasting result is achieved.
Therefore, it is imperative whether individuals having a primary facelift or primary facial rejuvenation or seeking revisional surgery or updating the prior surgical procedures to give focused attention to this key component of our facial structures, that being the mid-face.
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Richard Maloney, M.D.
