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  MID FACE LIFT   (Cheeklift)  
   

Operation Duration              

Anaesthetic                       

Number of Treatments

Results                              

Up to 2 hours

Local

One

Long-lasting

   
     
         
     
   

The face is one of the most important attributes of female beauty – a symbol of attractiveness and desire.  Many women are not completely happy with the size and shape of their breast and today women who are unhappy with their face have many options which include Mid Facelift.

As we age and facial tissue starts drooping our face becomes more square looking.  Unlike a standard facelift which primarily addresses sagging in the lower face and neck, the mid facelift is beneficial for those who have early signs of facial ageing in the area of the cheek below the eyes. 

While a facelift is necessary to improve the “lower” two-thirds of the face including the jowls and outer cheek, it cannot always address the central portion of the face which start below the eyelid and goes to the sides of the neck. These patients have excessive sagging of the muscles that travel from the cheekbone to the upper lip.

In the cheek area, a combination of deflation and descent of the cheek fat pads often creates a hollow and sunken appearance below the lower lids and deepened nasolabial folds (downward lines which extend from each side of the nose to the area beside the corners of the mouth).  A cheeklift is performed to correct the sagging muscles and lift the cheek area and return a more youthful fullness to the cheeks eliminating the “sunk in” appearance and minimise the folds at the side of the mouth.

   
     
         
  Reasons for having Facelift surgery include  
   

     To increase self confidence and enhance self image                                  
    
Those who have excessive sagging of the muscles from the cheekbone to the upper lip
    
Those who desire a more youthful fullness to the cheeks in a natural way
    
Do not have adequate definition to the cheeks
 
The best candidates are those women who are in good physical health, are mentally and psychologically stable, preferably do not smoke, those who want to improve their appearance and those who have realistic expectations about the procedure and the results.  Extra reasons may include:
 
      
Those who are looking for improvement not perfection in their face.
      
Those who want to improve their facial features

   
     
         
  Planning  
   

Pre-visit and during consultations the surgeon will try to evaluate your physical-mental health and any medical conditions. In order to obtain the best results it is important that you are honest with the surgeon, that you advise any previous surgeries, if you are taking any medications, herbal supplements, vitamins or other drugs and if you smoke. Be sure to discuss your expectations and goals. The surgeon is here to guide, advise and explain to you how the surgery will be performed, possible alternatives that may offer better results, the risks and limitations of each as well as details of follow up and after care.

   
     
         
 

The Procedure

 
   

Incisions are made in the same way as in eyelid surgery just below the eyelashes or they can be above the ear or through the underside of the upper lip. An endoscope is introduced through the incision and are used to lift the delicate midface tissue of the cheekbone. Once lifted the cheek tissue is elevated an repositioned upward (towards the eyes) and to the side (towards the ears). The endotine midface device which has five small tissue holders is used to grasp the cheek tissue securely and this reduces skin irregularities and any dimpling.

Another method of performing a mid facelift involves making a small incision in the temple area. These small incisions are typical of those used for a browlift. The midface is re-positioned and the sagging cheek fat pad is lifted together with underlying muscles. This results particularly in correction of hollowing below the eyes, sagging around the mouth as well as improvement in the jowl area.

With endoscopic surgery it can be done with general anaesthesia or with local tumescent anaesthesia and İV or oral sedation. (Tumescent anaesthesia means that it is injected in a large volume of saline solution, along with epinephrine to minimize bleeding. This helps to separate tissues and makes more room for the surgeon to work in.)

From an incision inside the mouth, the relevant structures are identified. Then an incision is made in each temple, inside the hairline, from which stitches are placed connecting the cheek pads to the temporal area. İf desired, a cheek implant can be positioned at the same time, to give the cheekbones more prominence in the overall facial shape.

   
     
         
  After Surgery and Recovery  
   

After surgery there will be some swelling and bruising but less than in a full facelift. You can be back at work anywhere between a week and a month post-op, depending on how strenuous your work is. İn the first couple of days you can use ice to bring down the swelling. You might feel some numbness or weakness in the middle part of your face but it will not last long. Make up may be worn after 1 week.

The stitches are permanent and placed deep down at bone-level, where they cannot be felt. It takes typically 30-60 days for the tissue to re-attach to the bone, once implanted. Eventually the tissue adheres to the bone and stays there, no muscles need to be tightened, which minimizes bruising afterwards. Nor is any skin removed. The residual scars are small and not visible, since the incisions were inside the mouth and under the hair.

Cheeklifts are a state-of-the-art procedure, less traumatic than a full facelift, require a shorter recovery time and yield very rewarding and long lasting results. The results are permanent but the aging process will continue and the cheeks may begin to sag again over the course of some years. However, refraining from smoking, long exposure to the sun and sudden shifts in weight will make the effects last longer.

If you are looking for a procedure to give you a healthy, more youthful and fuller appearance then a Mid Facelift is the answer. Most patients are more than happy with the end results and often repeat the process.

   
     
         
   

 

   
   

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