MID FACELIFT SURGERY OPTIONS
After performing an extensive medical evaluation, Dr. Steinsapir may elect to incorporate one or more of the following midface surgery techniques into your facial rejuvenation treatment plan:
Arcus Marginalis Release:
- The lower eyelid fat is surgically rotated over the orbital rim to fill the under eye hollow. This surgery is performed from a small incision behind the lower eyelid and is comfortably performed under local anesthesia. The average recovery period after this procedure is 10-12 days before most people return to social engagements.
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. The impact on the appearance is of these surgeries is remarkable.
Vertical Midface Lift (with or without an orbital rim implant):
- Significant midface aesthetic issues can be addressed with a vertical midface lift over a hand carved ePTFE implant. This procedure is very effective for midface deficits following injury, trauma, or prior lower eyelid and midface surgery. Patients who have been left with hollow lower eyelid syndrome after misplaced cheek implants can benefit from this procedure by having their cheek implants removed in conjunction with their vertical midface lift. Swelling from these procedures persists for many weeks after surgery, but most patients resume working within 10-14 days.
Autologous Fat Transfer:
- For this procedure, fat is transferred from a harvest site on the patient’s own body (i.e. abdomen, buttocks) to the midface area to restore depleted volume, thereby creating a more youthfully full, supple facial appearance.
Chemical Peel:
- A medium depth chemical peel that targets the lower eyelid, crow’s feet area, and cheeks can be a very effective midface rejuvenation option. Typically, phenol 89% is used for this purpose. Dr. Steinsapir is a master chemical peeler, and performs these treatments comfortably under local anesthesia. Recovery for this peel is typically 8-10 days before the skin is intact and able to hold makeup. Redness may persist for 6-8 weeks. The lower eyelid peel can be combined with a full-face peel for a truly powerful treatment with amazing results and a manageable down time. The chemical peel serves to firm the lower eyelid skin while tightening the midface region and reducing lower eyelid fullness.