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The midface undergoes a continuous ageing process influenced by a number of factors.
\nOn the one hand, soft tissues sag over the years due to gravity and a loss of tissue tone. At the same time, the face loses volume, particularly in the suborbital and malar regions. Added to this is a loosening of the ligamentous support structures that originally stabilise the midface.
\nThese changes often lead to a deepening of the tear trough, a loss of cheek projection and a more pronounced transition between the eyelid and cheek.
\nMany patients describe this appearance as tired, exhausted or gaunt \u2013 even when they actually feel fit and healthy.
\nA particularly common and often very distressing phenomenon is so-called malar bags or malar swelling. <\/p>\n
Deciding whether to perform a mid-face lift is one of the most challenging diagnostic decisions in aesthetic facial surgery.
\nAfter all, not every tear trough is a sign of volume loss. Not every change in the cheeks is caused by sagging. And not every swelling in the area of the malar bags automatically requires surgery.
\nThat is why I always carry out a very thorough analysis: <\/p>\n
The focus is on one key question:
\nIs this primarily a problem of volume, a problem of sagging \u2013 or is it a case of structural instability with a disrupted connection between the lower eyelid and the midface?
\nOnly once these interrelationships are understood can a decision be made as to whether a midface lift is actually appropriate.<\/p>\n
The midface can be lifted using various surgical approaches.
\nDepending on the initial situation, access is gained via the lower eyelid, the temple region, endoscopically, or as part of a facelift.
\nThe choice of technology depends largely on,<\/p>\n
The actual aim of the operation is not the traditional \u2018tightening\u2019, but rather the anatomically correct repositioning of the sagging tissue.
\nIn the procedure, the midface is mobilised, repositioned cranially and fixed in a stable position.
\nThis allows the cheek contour to be lifted, the transition between the eyelid and cheek to be harmonised, and the formation of shadows beneath the lower eyelid to be significantly reduced.
\nA successful mid-face lift therefore does not look \u2018operated on\u2019, but often conveys a calmer, more rested and harmonious facial expression.<\/p>\n
A mid-face lift is one of the most effective surgical procedures, particularly for pronounced malar bags.
\nThe reason is that this approach treats not only the visible swelling, but also the underlying structural problem.
\nRepositioning and stabilising the midface can improve the disrupted connection between the lower eyelid and the cheek. At the same time, this often reduces the tendency for fluid retention and swelling.
\nThis helps to smooth the contours, harmonise the transitions and often significantly reduce the prominence of the cheekbones.
\nParticularly in cases that are resistant to treatment or where the condition is severe, this is often the only long-term solution. <\/p>\n
A mid-face lift is often combined with lower eyelid surgery.
\nIt is precisely here that the great advantage of an integrative approach becomes apparent.
\nThis is because the midface also stabilises the lower eyelid. This not only creates a more harmonious transition between the eyelid and cheek, but also often reduces the risk of lower eyelid retraction or ectropion.
\nCombining both procedures often yields significantly more natural and long-term stable results than isolated procedures. <\/p>\n
An important point that is often overlooked:
\nA facelift alone does not restore lost volume.
\nHowever, it is particularly in the mid-face that volume plays a crucial role in creating a youthful, soft appearance and natural contours.
\nThat is why I often combine a mid-face lift with autologous fat grafting.
\nThis helps to compensate for volume loss, improve tissue quality and achieve softer contours.
\nHowever, it is important to use it very sparingly and with precision.
\nMy aim is not to create a puffy or swollen face, but to restore harmonious proportions.<\/p>\n
A mid-face lift serves both reconstructive and aesthetic purposes.
\nIn the field of reconstructive surgery, it is an extremely valuable tool \u2013 particularly in cases of lower eyelid retraction, previous surgery, structural instability of the lower eyelid, or pronounced malar bags.
\nThis is often not just a matter of aesthetics, but of restoring functional anatomy.
\nIn an aesthetic context, however, the procedure is primarily used to restore youthful proportions, create a more harmonious cheek contour and achieve a smoother transition between the lower eyelid and the midface.
\nHowever, I always make sure to give a realistic assessment.
\nThe effect of a mid-face lift on the nasolabial fold, for example, is often overestimated. Particularly when the procedure is performed via the lower eyelid, the results are significantly less pronounced than with a traditional facelift.
\nThat is why honest and detailed advice is crucial. <\/p>\n
I hold the mid-face lift in high regard as a surgical technique \u2013 precisely because of the possibilities it offers.
\nAt the same time, I am fully aware of the limitations and risks involved in the procedure.
\nThat is why I do not use it as a matter of routine, but only when it seems functionally appropriate, structurally necessary or genuinely beneficial from an aesthetic point of view.
\nFor me, the key thing is always to make a clear distinction between:<\/p>\n
Only by understanding these interrelationships can a natural and sustainable result be achieved.<\/p>\n
A successful mid-face lift results in:<\/p>\n
However, like any surgical procedure, a mid-face lift also has its limitations and risks.
\nThese include, in particular, swelling\u2014which may require a longer recovery period\u2014temporary changes in sensation, asymmetry, overcorrection or undercorrection, and functional changes to the lower eyelid.
\nThis is precisely why precise planning, a cautious approach and experience are crucial.<\/p>\n
A mid-face lift is a highly effective but technically demanding procedure \u2013 particularly in cases involving complex issues such as pronounced malar bags or functional problems with the lower eyelid.
\nUsed correctly, it can resolve structural issues, stabilise function and bring about a lasting improvement in appearance.
\nMy approach remains the same:
\nNot to do as much as possible \u2013 but to do the right thing.
\nNot to change things as much as possible \u2013 but to restore balance, stability and naturalness.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
Over time, this area often changes significantly. Soft tissues sag, volume is lost and the supporting ligamentous structures become less stable. This not only alters the contour of the cheeks, but often also leads to an increasing separation between the lower eyelid and the midface. Restoring precisely this connection is the actual aim of a […]<\/p>\n","protected":false},"featured_media":8167,"menu_order":0,"template":"","categories":[56,35],"tags":[],"class_list":["post-8364","service","type-service","status-publish","has-post-thumbnail","hentry","category-face","category-surgery-en"],"acf":[],"yoast_head":"\n