Middle Facelift (Rhytidectomy)

Tightening the cheeks, wrinkles, eyes, for a refreshed appearance.

By Brandie Umar, Executive Director of ContentLast modified: November 29, 2011

Middle Facelift (Rhytidectomy)

A middle facelift concentrates on the central part of the face, specifically the cheeks and mouth. Unlike a lower facelift which removes fat, a mid-facelift repositions fat in the cheeks that has slipped and has left hollow indents in your face. This type of facelift surgery (rhytidectomy) is effective at removing deep-set wrinkles around the mouth.



Middle Facelift (Rhytidectomy) Procedure

An endoscopic approach is the preferred technique by plastic surgeons for performing middle facelift surgeries. Making two small incisions in the hairline, surgeons can use small cameras to guide the surgery without having to externally lift the skin away from the muscle. Surgeons insert the surgical instruments through the incisions and working downwards towards the mouth lift the tissue inside the cheeks.

Fat deposits are pulled upwards and a small incision is made inside the mouth to allow your cosmetic surgeon to use suspension sutures to hold the fat in position and prevent them re-slipping. Your cheeks will appear rounder and wrinkles will appear smoother. Middle facelift surgery will also improve the appearance of bags under your eyes.

Endoscopic facelift surgery is not suitable for all patients. Your plastic surgeon can carry out middle facelift surgery with incisions made above the ear and in the lower eyelid through which the sutures are pulled.

Middle facelift surgery is often combined with eyelid lift surgery (blepharoplasty) to give a more noticeable result.  

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