Since the cheeks are located in the midface, the changes caused by aging in the cheeks are accompanied by signs of aging in other areas of the midface. Symptoms such as the appearance of the nasolabial fold, hollowing under the eyes, and drooping of the lower eyelid can be observed. On the other hand, the cheeks are located a short distance from the corner of the eye and the tail of the eyebrow, and we know that with age, both of these parts move downwards and the crow’s feet become more pronounced.
In many individuals, signs of cheek sagging are accompanied by drooping of the tail of the eyebrow, which can affect the beauty of the eyes.
The midface is the area between two horizontal parallel lines (between the lateral canthi and the oral commissures) and two vertical parallel lines (a line in the middle between the tragus and the lateral canthus).
These changes include atrophy of the cheek tissues (bone and fat), elastosis of the skin (thin, wrinkled, and excessive skin), and sagging of the tissues inwards and downwards.
1. Nasojugal groove (tear trough)
2. Formation of fat pads in the lower eyelid
3. Appearance and deepening of the nasolabial fold (smile lines)
4. Flattening and shrinking of the cheeks
5. Changes in the lower eyelid (such as drooping of the eyelid margin and the outer canthus)
An endoscopic midface lift is performed through two incisions: the first is similar to the incision for an endoscopic temporal lift, located in the temporal region and within the hairline. The second incision is made inside the mouth or below the lower eyelid. After the incisions, the soft tissues of the face are elevated from the cheekbone (zygoma) in a subperiosteal fashion. The released tissues are pulled upwards and backwards using sutures and attached to the temporalis muscle fascia. In this surgery, instead of sutures, endotains can also be used.
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An open midface lift can also lift the midface, but if the goal is only to change the midface, it is better to use an endoscopic lift because an open lift is a more extensive surgery and is designed to lift both the midface and lower face simultaneously.
1. Hidden incisions: For patients who do not require lower eyelid surgery, the incisions are made within the hairline or inside the mouth. These incisions are easily concealed.
2. Combination with cheek implants: This surgery can be performed simultaneously with cheek implant surgery, benefiting individuals with very small cheeks.
3. Complementary to temporal lift: Combining this surgery with a temporal lift can be a complementary approach for younger individuals who prefer subtle changes in the cheek and eye area.
4. Increases facial width: This procedure can increase the width of the face in the cheek area.
5. Suitable for early signs of aging: It’s an ideal choice for patients who do not yet have severe facial sagging and for whom open lift surgery is not suitable.
In the images above (8 months post-surgery), these positive side effects can be observed along with the cheek lift:
1. Higher lower eyelid margin and lateral canthus: The eyes appear more lifted and youthful.
2. Reduced under-eye hollowness: By transferring cheek tissue upwards, the under-eye hollows are less pronounced.
3. Increased facial width: The face appears wider in the cheek area.
4. Reduced nasolabial fold depth: By transferring cheek tissue to the supralateral area, the volume of the nasolabial fold is reduced, and the cheek volume is increased.
1. Limited lower eyelid rejuvenation: If a lower eyelid incision is not made, excess skin cannot be removed, limiting lower eyelid rejuvenation.
2. May not be effective for severe sagging: In individuals with severe cheek sagging, this procedure may not be as effective.
3. Possible eye stretching: This lift can cause a slight stretching of the eye area and elevate the outer canthus. While some patients appreciate this, others may find it undesirable. Therefore, it should be used with caution in men, and patients should be aware of the risk of eye stretching.
For men who are candidates for a cheek lift but are concerned about eye stretching, cheek implants can be considered as an alternative (implants can provide a slight lift in this area).
An endoscopic cheek lift can be performed using either endostitches or long-lasting sutures. In the research conducted so far, endostitches have shown similar effects to sutures and have not offered any significant advantages. However, if you prefer using endostitches, you can discuss this option with your surgeon.
● Younger individuals with minimal sagging.
● People who want to rejuvenate the cheeks and surrounding eye area, typically under 45-50 years old.
● Individuals who have experienced cheek sagging due to aging.
● People with a long face.
Recommendation: Combining this surgery with a temporal and forehead lift can yield better results. However, individuals with sagging tissues in the lower face are recommended to undergo a full facelift.
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No surgery is entirely without risks or complications.
In endoscopic cheek lifts, the most significant complication is the potential damage to the frontal branch of the facial nerve. Fortunately, because this branch is protected by strong layers of superficial fascia, the risk of permanent damage is very low. However, temporary weakness of this nerve can sometimes occur due to stretching during surgery. In such cases, the nerve function usually recovers on its own as the swelling subsides.
Other potential complications include pain, bruising, numbness in the temple area, and the possibility of visible scars or hair loss at the incision site.
Given that you have undergone surgery and the subsequent recovery process, it is crucial to be aware of the specific post-surgical care instructions. This will help you return to your normal life as quickly as possible and avoid any potential complications. To ensure this, we will provide you with a detailed care guide immediately after surgery, along with a follow-up phone call.
A temporal lift should be performed along with a cheek lift if there is a drooping of the outer corner of the eye.
Bone tunnel technique: Creating a cavity in the bone
In a midface lift, under-eye hollows and puffiness are slightly improved but not completely. Additional procedures like dermal filler injections, fat grafting, or eyelid surgery may be necessary.
No, correcting a double chin is a separate surgery from a midface lift and is performed independently.
One of the causes of deep laugh lines is sagging cheeks. Other factors include the breakdown of facial bone and fat. Therefore, a cheek lift (midface lift) will only correct the portion of the laugh line that is caused by sagging cheeks.
Marionette lines are located in the lower part of the face and cannot be corrected with a cheek lift (midface lift).
As we age, the volume of our cheeks decreases, and our facial features start to sag. After a facelift, the volume of the cheeks increases. In a facelift, the cheeks are pulled upwards, resulting in a 1-2 cc increase in cheek volume. This is supported by research conducted by Dr. Jacono.
1)Individuals who experience sagging cheeks due to aging.
2)Individuals with a long face.
Cheek implants are used to enhance the bony part of the cheek, while a lift restores the soft tissue that has sagged. These two procedures do not interfere with each other and can be performed simultaneously.
Since a prominent bone structure is very important in men’s faces, but soft tissue is more crucial in women’s faces, cheek implants are often recommended along with a cheek lift for individuals who have a receding cheekbone or inadequate bone structure.
Since cheek fat is firm in youth but loses its firmness and sags with age, it’s better to perform this surgery at an older age.
In some individuals, the results last between 3 to 5 years.
No special care is needed, just in case you plan to lose weight, it should be done before the cheek lift.
In general, a cheek lift is performed for cosmetic purposes or to correct sagging. However, it’s more suitable for people who have sagging in the cheek area.
It slightly reduces the hollow under the eye but has no effect on under-eye puffiness.
The prominence of the cheekbones will increase relatively.
