mid-faceliftAn individual’s identity is often primarily determined by the face—its structure, overall appearance, and expressions. As such, age-related changes that can alter the appearance of the face may make an individual feel as if their identity has changed over time.

Changes can occur in the upper, mid, and lower portions of the face; however, changes to the middle region of the face can often occur earlier than changes to the lower face. These changes may include loss of volume and sagging of the cheeks, as well as the development of deep wrinkles and hollow areas below the lower eyelids. Often appropriate for individuals who have not yet experienced sagging in the lower face, a mid facelift can help to reduce these signs of aging, restoring a firmer, more youthful appearance.

Facial aging occurs for many reasons. In response to sun damage and other factors, your skin’s support network of collagen and elastin breaks down. As a result, your skin loses some of its structure and elasticity and becomes lax. Additionally, the facial muscles weaken and stretch, and fat deposits, which normally give the face a soft, rounded appearance, migrate downward and are depleted. In combination, these changes work together to create sagging cheeks, hollow areas, and deep wrinkles in the mid face.


Before you understand how a facelift works, it is important to understand the underlying structure of the face and how the aging process causes it to change over time. The face is composed of layers of skin, muscle, and fat which lie above the facial bones. Much like a rubber band that has been over stretched, the tissues within your face weaken, losing their resiliency and ability to maintain a firm, youthful position.


Good candidates for a mid-facelift are healthy individuals who have sagging cheeks, hollow areas, and deep wrinkles in the mid-face.


A mid-facelift can be performed in a number of different ways. Dr. Miller prefers the minimally invasive endoscopic approach, making small incisions just above the hairline. An endoscope is then placed through the incision and the underlying tissues are tightened, and fat pads that give the face shape and volume are shifted upward to restore a firmer, more youthful appearance. The procedure typically takes between 1-2 hours.


* Results may vary

* Results may vary


A mid-facelift can be performed with IV sedation or general anesthesia at an accredited surgery center.


The patient usually goes home following the procedure. Visible bruising and scarring will typically resolve over 10 days to 2 weeks and patients can usually return to work within 10 days to 2 weeks as well. A compression garment is worn around the clock for 5 days and then in the evening for 2 weeks in order to expedite the healing process. Patients should avoid strenuous exercise for up to 3 weeks. Results will be noticed soon after the procedure and will continue to be enhanced as the swelling and bruising continues to improve.

Additional Facial and Neck Rejuvenation Procedures

The mid-facelift is specifically designed to address sagging cheeks and hollow areas and deep wrinkles below the eyelids. The mid-facelift is commonly combined with other procedures that focus on aging in other areas of the face or brow. Some of these procedures include…


Upper and lower blepharoplasty

Lower third facelift

Neck lift (platysmaplasty)

Chin implant

Fat transfer

Laser skin resurfacing

Botox & injectable fillers

consult1Dr. Miller will help you determine which procedures are best for you, and whether an additional procedure such as eyelid surgery or skin resurfacing would produce more global facial rejuvenation.

Meet Dr. Miller

Meet Our Surgeon - Dr. Todd Miller

What draws Dr. Miller specifically to Facial Plastic Surgery is being able to provide patients with a unique skill set involving the head and neck. He has performed a vast number of facial cosmetic procedures. He has authored articles for national publications and made numerous presentations at national and regional meetings. He is a board certified member of the American Academy of Otolaryngology/Head and Neck Surgery. More...

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