Midface Facelift is a medical term used for a surgical procedure that aims to improve the symptoms of aging of the middle third of the face, which includes the collapse of soft tissue located above the cheekbones. The collapse of the structures of the middle third of the face can accentuate the furrows below the lower eyelids (nasoyugal groove) and between the nose and mouth (nasolabial fold), which in turn lead to a tired face. The fall of the soft tissue and loss of muscle tone associated with sagging skin contribute to the loss of the contours of the face and are related to a number of factors including heredity, gravity, environmental conditions, and stress.
In some patients a lack of projection of the malar or cheek bones may also be observed . This may be congenital or due to lack of development of this structure during growth. In these cases it can be treated with the placement of rigid silicone implants, giving a normal contour to the face and leaving it more balanced with other parts of the face.
The facelift of the middle third of the face is to improve the effects of aging in the area of ??the cheeks, nasolabial, and the furrow nasoyugal, returning to this area its natural contour. Is important to mention that this procedure may be associated with a cervico facial lifting, where the middle third posterior structures of the face, lower third, and the neck area are treated, as well as a forehead lift, where the upper third of the face is also treated. Other surgeries that may be associated when it is desired and indicated are the upper and lower blepharoplasty.
In this surgery, one of the most important developments has been that with the latest advances in aesthetic surgery that allow action in wide areas by minimum length incisions, residual scars are limited both in scope and in their location allowing that, in most cases, the results are inapparent. One advance that allows this type of procedure without need of large incisions is the endoscopic forehead lift. The procedure consists of using a camera through small incisions in the scalp, allowing the patient to avoid major trauma, a faster recovery, better results, and decrease the size of the scar, guaranteeing it a natural appearance.
It is important to emphasize that the lifting of the middle third of the face does not change the basic and fundamental features of the patient’s face and does not interrupt the process of aging. When the procedure is performed alone it can only improve the areas described above. If you have any doubts on this point, see your surgeon.
Therefore, surgery is best indicated for:
-Adult patients, both men and women who feel the effects of facial aging and seek to treat the area of the middle third of the face only or associated with another facial procedure.
-Adult patients that are healthy, without a serious medical condition, or likely to impair healing.
-Individuals with clear objectives and within the real possibilities of the procedure, including being aware of its limitations.
You will be asked to sign a consent form to ensure that there was a full understanding about the procedure to be conducted and that you are aware of the possible and potential complications. Possible complications of this surgery include: accumulation of blood under the skin (skin), swelling (edema), infection, poor healing, loss of hair at the site of the incision, the facial nerve injuries followed by facial asymmetry, areas with vascular suffering of the skin, areas with loss of sensitivity,thrombus formation and anesthetic complications.
After surgery you will wake up with healing dressings on the face, whose function is to protect and provide mild local compression. A suction drain could also be made use of. After surgery you will be encouraged to flex and extend your feet, exercising the calves at least 20 times every hour when awake. In the following days, short walks every two hours for about 10 minutes are recomended. Care in relation to wound healing and dressing changes, returns, and the prescription of drugs needed, will be delivered by Dr. Ventura.
At first the feeling of swelling (edema), bruising and discomfort on the operated area is normal. The return to normal activities will be gradual and according to the guidance of Dr. Ventura. Some areas with lack of sensitivity and discreetly hardened in the region operated may occur and gradually improve in the months that follow. As the initial healing process takes about 5 to 10 days, stitches will only be removed after this period. The entire process takes several months and it is therefore necessary to maintain some specific care treatments that will be oriented by your plastic surgeon. The resulting scars are permanent and the final result depends on the individuality of each patient.