Endoscopic Midface Lift

Once you reach your early to mid-thirties, you may notice that your cheek tissue has started to sag and droop by the constant pull of gravity. The result is that the area below your eyes appears hollow, the bone of the orbit may become visible and folds that extend from the corner of the mouth up toward the corner of the nose, known as the “naso-labial” or nose-lip folds, begin to thicken. What does all of this mean? Simply that you look older.
Doctors refer to the entire sagging/drooping process as the “descent of the mid-face,” with the term “mid-face” describing the portion of the face that lies above the mouth but below the eyes. However, though this has long been seen as an inevitable part of aging, Long Island plastic surgeon Dr. James Marotta has the power to correct it with the mid-facelift.

What is a mid-facelift?

The mid-facelift is a ground-breaking procedure generally considered the biggest advance in facial plastic surgery in 15 years. Prior to the mid-facelift, Long Island plastic surgeons had nothing to offer patients to help address aging in the middle of the face, but tried to achieve improvement through a traditional facelift, a procedure best suited to rejuvenation of the lower face and neck. If you have developed notable signs of mid-facial aging, the end result of a traditional facelift is a somewhat mismatched appearance by combining a youthful neck and jaw-line with age-related volume loss around the middle of the face.

For Long Island men and women with both mid and lower facial aging, a better approach is to combine a mid-facelift with a traditional facelift to achieve harmonious and total facial rejuvenation. Meanwhile, younger patients who have only developed mid-facial aging and minor lower facial aging may find that a mid-facelift can address all of their concerns, including mild jowling, without the need for a lower facelift – particularly at the hands of an experienced Long Island plastic surgeon.

Have you noticed mid-facial aging?
Have you noticed mid-facial aging?
What are the benefits of a mid-facelift at Marotta Facial Plastic Surgery?

Most of our Long Island patients consult Dr. Marotta about a mid-facelift to address the following concerns:

  • Deepening crease lines that extend from the sides of the nose to the corners of the mouth, a.k.a the naso-labial folds
  • Desire for more permanent solution than that offered by the “thread-lift”
  • Sagging cheeks and early jowling.

What to expect during your mid-facelift at Marotta Facial Plastic Surgery

At our Long Island facility, the anesthesia for a mid-facelift is deep sedation. A mid-facelift may take several hours or longer depending on whether Dr. Marotta performs any other cosmetic procedures to counter signs of aging. This surgery is most frequently combined with an endoscopic forehead lift and/or a facelift, and Dr. Marotta can discuss these options with you during your initial consultation.

Dr. Marotta is able to perform a mid-facelift endoscopically using a small camera and incisions that are entirely hidden behind the hairline. The mid-facial cheek tissues are restored to their natural (higher) position using absorbable sutures. As these sutures dissolve, the cheek tissues naturally adhere to the underlying bone and remain in a youthful position.

Immediately after surgery, your face will be fitted with bandages and surgical drains to facilitate a healthy recovery and combat swelling. The bandages and drains are removed during your first postoperative visit with Dr. Marotta. As you recover from your mid-facelift, we recommend head of bed elevation and light activity. Our patients generally don’t experience much pain after their mid-facelift surgery, but may experience mild discomfort while chewing that lasts for a few days.

Recovery time following a mid-facelift typically lasts for two weeks, at which point you can return to your regular activities. Throughout this time, you will have regular post-op appointments with Dr. Marotta to monitor your progress and remove the stitches. Facial swelling is more pronounced with a mid-facelift than with a facelift alone and may persist a bit longer, but makeup can be used to cover up any residual bruising you experience.

Why choose Marotta Facial Plastic Surgery for our mid-facelift?

The mid-facelift requires an expert knowledge of facial anatomy and advanced surgical training. As such, not all New York plastic surgeons offer the mid-face lift. Dr. Marotta performs an endoscopic mid-facelift with minimal incisions and a camera, and completed his training in facial plastic surgery with one of the pioneers of this procedure. In addition, he has published scientific papers and given lectures on the endoscopic mid-face lift.