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Midface Lift
MIDFACE EXPERTISE
Dr. Steinsapir is one of the key pioneers of midface surgery.
In the past 15 years, surgeons have been grappling with what is essentially a new frontier in the field: midface surgery. In contrast to many of the classic techniques of periocular plastic surgery, midface surgery is still in a process of rapid evolution and flux.
Dr. Steinsapir's midface lift with hand carved ePTFE orbital rim implants is widely hailed. This workhorse procedure is often called upon for reconstructive procedures after unsatisfactory lower eyelid surgery and other complex reconstructive situations.
It is important to understand that his extensive training and experience permit him to offer solutions that other surgeons lack the experience to perform. Dr. Steinsapir is often called upon to fix the midface work of other surgeons. He teaches other surgeons and lectures extensively.
MIDFACE BENEFITS
Mid facelift addresses the descent of the malar fat pad that contributes to the under eye hollow, the midcheek groove, the nasolabial fold and the jowl at the bottom of the cheek.
As people age and their skin loses elasticity and tone, the cheeks and eyelids tend to sag, creating a tired or haggard look.
The mid facelift is a procedure to improve the look of the cheekbone area as well as the area underneath the eyelids. The Midface lift is a plastic surgery procedure that restores a smooth, youthful look to the lower eyelids and cheeks. It restores fullness to these areas and this makes the patient look younger.
Many of the reasons lower eyelid surgery fails are due to a failure to appreciate the role of midface descent in the lower eyelid changes. Improving an unsatisfactory lower eyelid surgery almost always involves also addressing the midface issues and the lower eyelid.
MIDFACE SURGERY OPTIONS
Midface Surgery options include arcus marginalis release, tailored lower eyelid surgery, lower eyelid/midface chemical peel, fat transfer, midface surgery with or without an orbital rim implant.
Arcus Marginalis Release: The lower eyelid fat is surgically rotated over the orbital rim to fill the under eye hollow. The surgery is performed from a small incision behind the lower eyelid and is comfortably performed under local anesthesia. Typically 10 to 12 days are required to recover from this procedure.
Tailored Lower Eyelid Surgery: By carefully tailoring standard lower eyelid surgery it is possible for some individuals to improve the overall appearance of the lower eyelid as it transitions into the top of the cheek. This can be combined with a reinforcement of the orbitomalar ligament to improve bags that form at the top of the cheek.
Vertical Midface Lift: Significant midface issues are addressed with a vertical midface lift over a hand carved ePTFE implant. This procedure is very effective for midface deficits following trauma, and prior lower eyelid and midface surgery. Patients who previously has cheek implants and have a hollow lower eyelid syndrome due to the placement of the cheek implants can be significantly benefits by having their cheek implants removed at the time of vertical midface lift. Swelling from these procedure persists 2 to 3 weeks or longer but many feel ready to return to work in 10 to 14 days. A personal consultation with Dr. Steinsapir will determine if you would benefit from this procedure.
Chemical Peel: Another highly effective midface option is a medium depth chemical peel that includes the lower eyelid, crowsfeet area and is feathered out over the cheek. Typically, phenol 89% is used for this purpose. Dr. Steinsapir is a master chemical peeler. These treatments are comfortably performed under local anesthesia. Recovery for this peel is 8 to 10 days before the skin is intact and able to hold makeup. Redness persists typically 6 to 8 weeks. While the redness is generally not an issue for men, women usually prefer to cover up the redness. The lower eyelid peel can be combined with a full-face peel for a truly awesome treatment with a very acceptable down time. The peel firms the lower eyelid skin tightening the midface and reducing lower eyelid fullness.
MINIMALLY INVASIVE OPTIONS
Perlane® are highly effective at treating almost all midface deficits without the necessity of surgery.
These treatments last on the order of about a year. However, it is critical to get enough product in order to have a satisfactory result. How much filler is needed is an entirely an individual consideration.
Dr. Steinsapir will assess you and make a recommendation. Some will elect to do less treatment because of financial limitations. Dr. Steinsapir will work with you to get the most from whatever service you decide to afford yourself.
Facial volumizing with the Hyaluronic sugar gels is less expensive than having surgery. Yet volumizing can accomplish results that can't be obtained with surgery. Surgery and surgical recovery is avoided. For many, the downtime associated with surgery is a big consideration. These noninvasive methods truly provide a fantastic alternative to having midface surgery. Combine this with MicrodropletTM BOTOX® forehead lift. Think of this as the liquid facelift: surgery in a syringe.
TESTIMONIALS
“I am thirty year old actress and the roles I perform often call for a twenty year old. It is so great to have a non-surgical treatment that lets me look 10 years younger and no one knows that I am having my face done. Dr. Steinsapir is the best.” Anonymous
“I only got smart after my first surgery. When I realized I didn’t heal correctly, I consulted everyone-literally everywhere. The plastic surgeons treated me like I was crazy or something. Dr. Steinsapir really understood my concerns and developed a surgical plan that made sense. I am now about a year out from surgery. My eyes close and my dry eye symptoms are so much better. Just as important, when I speak to people, talk to me and look at me like I am a human being. I feel beautiful again thanks to Dr. Steinsapir.” BX
MIDFACE SURGERY CASES BEFORE AND AFTER PHOTOS
Cosmetic Concern: 42-year-old woman concerned about her aging appearance. The result is so natural that this looks more like a mother/daughter pair than before and after photos.
http://www.lidlift.com/midface/examples/midface-02.html
Cosmetic Concern: 36 year old concerned about the circles under her eyes and the heaviness of her upper eyelids. Dr. Steinsapir hand carved a custom implant of e-PTFE specifically for her circles.
http://www.lidlift.com/midface/examples/midface-03.html
Cosmetic Concern: 52-year old woman who had silicone Cheek implants placed twenty years before. The old cheek implants were removed and replaced with hand carved cheek implants of ePTFE that were fixed to the inferior orbital rim.
http://www.lidlift.com/midface/examples/midface-06.html
CONSULT WITH A MIDFACE SURGEON WHO CARES
Choosing your cosmetic physician for Mid Facelift Surgery or Treatment in Los Angeles is a major decision. Going forward with the right forehead specialist warrants careful consideration.
In this office, Dr. Steinsapir will listen to your concern, answer all of your Mid Face surgery questions, and after a thorough examination, develop a plan that addresses your needs.
Dr. Steinsapir does not use nurses or "physician extenders." When treating the mid face, to avoid complications, we advise that you select a highly trained, licensed surgeon who personally performs every procedure.
Reputable mid face lift surgeons in Los Angeles should make themselves available to personally answer your questions and address your concerns.
We welcome your inquiries and questions about the mid face lift options. A consultation with a Dr. Steinsapir can help you decide if a mid face surgery, or another cosmetic procedure will help you achieve the results you desire.
Dr. Kenneth Steinsapir is available at (310) 473-2200 or submit a question or schedule your personal consultation here.
