Dr. Vartanian Describes His Mid-Face Lift Technique
As people age, the bony skeleton and especially the soft tissues of the face lose volume - they shrink. There is also a descent or lowering in the malar or cheek mound location, resulting in multiple upper cheek cosmetic finding that make the individual look "older"and not as vital.   Aditionally, the reduction and a downward and inward descent of  the cheek fat exposes the edge of the inferior orbital rim and creates heavier facial fold and jowls.
Unfavorable upper cheek findings with age:
- Under-eye are hollowing
- Drop in cheek height
- Exposure of under-eye fat pockets (pseudo-herniation of fat)
- Increase in melo-labial or naso-labial facial folds
- Increased jowling
- Other cheek area depressions and grooves
The subperiosteal midface lift can produce reliable and reproducible results. The lift can improve the tear trough depressions, refine the projection of the cheek, elevate the jowls, and lift both the corner of the mouth and the lateral canthus of the eye. Asymmetry of the cheek mound also can be addressed. Futher improvment of the cheek mound and infraorbital areas can be accomplished with dermal fillers or fat-grafting. The use of Endotyne suspension device can add further help with symmetry.
The subperiosteal midface lift is performed using minimal incisions placed in under the lip (Caldwell-Luc type of incision) and in the hair-bearing temple area of the scalp. The procedure can be performed using an endoscope or without. The operative time is about 90 minutes.  The results are long lastings with minimal complication rate in exprienced hands. Recovery times are minimal, but malar swelling can be last up to several weeks. The midface lift can be combined with other procedures, such as facelift , browlift, eyelid rejuvenation, or laser resurfacing. With facelift, the midface lift is performed last.
For more information you may visit: http://www.facial-plastic.com