Once the effects of aging start to take hold on the face, it’s pretty common for sagging skin to become noticeable. The only way to reverse the effects of slack skin is to tighten it back to a more youthful position. One way to do so is with a transconjunctival mid-facelift—a long-lasting option best for those with mild sagging and drooping in the center part of the face and lower eyelids.
Originally developed to correct lower blepharoplasty or mid-facelifts that left patients with lower lids that were too pulled down from the eye, this technique doesn’t result in obvious scarring around the ears but still provides the cheek area with lift. It also does not produce the same result if there is cheek laxity.
An incision is made in the inside of the lower eyelid, which completely eliminates the need to cut the outer skin, and then the dissection is tunneled down to the deepest layer of the cheeks. Some doctors also choose to make a secondary incision in the gumline inside the mouth. “From there we suture or fix the pockets and fat pad to create a midfacelift,” says Beverly Hills, CA, plastic surgeon Ritu Chopra, MD. “The nice thing about this technique is that it also helps correct cheek irregularities, too,” says Chicago plastic surgeon Julius Few, MD. Recovery is often quicker than a normal mid-facelift—think two weeks as opposed to three. According to Dr. Few, because the anatomy of the face is preserved, there’s a smoother, more natural look.
Bottom line: Many doctors feel this technique can be beneficial, but the brow and cheek lift is not really as effective as other facelifts.
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