The operation in which the excess and wrinkles on the face (forehead-face-neck) skin are removed and the laxity of the subcutaneous soft tissue is corrected is called face lift surgery. Only surgeries in which the facial skin is stretched are no longer considered as facelift surgery.
The mid-face region is the most recently discovered and valued facial region in the history of facelift surgery that stretches over a century. In recent years, its anatomy and its importance and effect in facial rejuvenation surgery have been revealed.
A full cheekbone area expresses youth, beauty and freshness. When you look at the face of young people, full cheekbones give that person a remarkable beauty, provided that they are not overdone. It is these plump cheeks that give the beauty of even babies’ faces.
With advancing age, the structures that hold this oil in place weaken. As this fat slides down, the fullness on the cheekbone begins to disappear, the borders of the bone begin to appear, and the sagging parts accumulate on the sides of the nose. This sign of aging that I described was a problem that classical facelift surgery could not fix for years. Face lift surgeries that solve this problem are the double layer deep plane surgeries that we also apply. If the person is not old enough to have a facelift and there is no sagging of the facial skin, then only an operation is performed for the area we have described, which is called mid-face lift surgeries.
How Is This Surgery Performed?
Surgery to stretch the midface area,
– superficial plan mid-face lift surgery,
– There are two types as deep plan mid-face lift surgery.
Superficial plan mid-face lift surgery is performed with a skin incision made from the lower eyelid eyelash line (also lower eyelid plastic surgery incision). It proceeds downwards from this area and the cheek fat is released from the points where it connects to the bone, it is raised to its former place and sewn to this area.
Deep plane mid facelift surgery is also known as endoscopic facelift surgery. It is performed with two incisions made from the inside of the mouth and the hair in the temple area. With this method, all soft tissues (muscle, fat) on the cheekbone are stripped, pulled upwards and sewn onto the chewing muscle in the temple area.
Which of these methods is right for me?
Many surgeons in the world apply the deep plane endoscopic method to almost every patient. However, the group that I am in thinks that it should be applied in two types of surgeries. According to our experience, the superficial technique is sufficient for the vast majority of these surgery candidates, which is about 80%, and the preferred method is the superficial plan method in patients with lower eyelid bagging complaints.
Deep plane endoscopic deep plane endoscopic method is more suitable for 20% of the cut with severe depression in the midface region.
The answer to this question is to determine the most suitable method for you together with your surgeon.
What Are the Complications of This Surgery?
The risk of bleeding and infection is negligible for this area. The risk of infection increases after the incision made inside the mouth
Asymmetry is a problem that can occur, albeit very rarely. If the stitches used to hang the tissues loosen, open, etc.
Pulling on the lower eyelid is one of the problems that may occur. There is a possibility that it can be seen after the operations performed by cutting under the eyelashes.
Loss of sensation and temporary loss of muscle function may occur due to damage to the nerves passing through the operation area.
In the incisions made through the hair, there may be temporary hair loss. Lost hair will regrow.
Especially after the deep plane technique, long-lasting excessive edema (swelling) can be seen in the operation area.
