Surgeons use the term “facelift” to describe any procedure on the
face that results in a tighter, more youthful appearance. I will discuss
the two most recognized approaches: the midfacelift and the
“traditional” facelift. The midfacelift is a powerful new way to
rejuvenate a person’s appearance who is just starting to show signs of
aging. Unlike a traditional facelift, which pulls the entire cheek skin
and neck skin in an upward and backward fashion to improve sagging
jawlines and necks, the midfacelift pulls the area between the lower
eyelid and upper lip in a more vertical direction. This serves to soften
the fold between the nostril and the corner of the mouth (naso-labial
fold) as well as add more fullness to the cheekbone and shorten the
aged, elongated lower eyelid. Because the incision is inconspicuously
located within the lower eyelid or within the temple, there is no
obvious scar.
The traditional facelift, on the other hand, is a powerful procedure
for improving the jawline and neck. With some of the more extensive
modifications, naso-labial folds and sagging cheek fat can also be
repositioned to produce a more youthful contour. The incisions are
hidden in the hairline and around the ear and may or may not include a
smaller incision under the chin. This latter incision is useful in
approaching the anterior neckbands that may need to be modified through
cutting, removal or suture tightening.
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