WHAT IS A MIDFACE LIFT? INTRODUCTION TO MIDFACE LIFTS A midface lift, also known as a cheek lift, targets the area of the face extending from the lower eyelids to the upper lip. This procedure is designed to elevate the cheeks, reduce the nasolabial folds, and restore a more youthful contour to the mid-region of the face. PROCEDURE SPECIFICS Performed by Dr Sandeep, the midface lift involves precise incisions commonly placed within the hairline or inside the mouth. Through these incisions, Dr Sandeep repositions the soft tissues and elevates the fat pad in the cheek for a lifted, more youthful appearance. The objective is to correct the hollowing of cheeks and reduce the deep lines that develop with age. MIDFACE LIFT VS. OTHER FACIAL PROCEDURES UNDERSTANDING THE MIDFACE LIFT PROCEDURE Unlike full facelifts that address the entire face or mini facelifts that focus on the lower face, the midface lift specifically targets the cheeks and midfacial area. This specialized procedure can create significant improvements for patients who have experienced sagging or flattening of the cheeks without the need for a more extensive facelift. However, the procedure may be performed in conjunction with a lower facelift and neck lift for maximum impact. COMPARING THE TWO A midface lift is often recommended for patients who do not yet need a full facelift. RECOVERY AND DOWNTIME The recovery time is typically shorter than that of a full facelift, with most patients returning to their daily activities within 10 to 14 days. However, the subperiosteal midface lift can lead to more swelling than a conventional facelift, this swelling may take a few weeks to resolve completely. However, as with any surgical procedure, there are risks of complications such as swelling, bruising, numbness, or asymmetry. IDEAL CANDIDATES Candidates best suited for a midface lift are those who notice sagging of the cheeks, prominent tear troughs with hollowing under the eyes, deepening nasolabial folds, and a desire to enhance the midfacial area without undergoing a full facelift. Patients with good skin elasticity and realistic expectations about the outcome tend to be the most satisfied. WHAT CAN A MIDFACE LIFT NOT ACHIEVE? A midface lift is a surgical procedure that can offer significant improvements in the appearance of the midface area, but it does have limitations. Here are some of the things a midface lift cannot achieve: Improvement in Skin Quality: While it can reposition sagging tissue and enhance volume, it does not change the texture or quality of the skin. Issues like sun damage, fine lines, and skin discoloration will not be corrected by a midface lift. Tightening of the Lower Face and Neck: A midface lift does not address sagging jowls, a double chin, or neck laxity. These concerns would require a lower facelift or neck lift. Elimination of Forehead Wrinkles: Concerns such as forehead lines or drooping eyebrows are not corrected with a midface lift. These areas are typically addressed with a brow lift or botulinum toxin injections. Correction of Eyelid Sagging: For drooping eyelids or bags under the eyes, blepharoplasty (eyelid surgery) would be the appropriate procedure. Long-term Results for Advanced Aging: While a midface lift can offer rejuvenation, it may not be sufficient for individuals with significant signs of aging who may require more extensive surgical procedures for longer-lasting results. Replacement of Volume Loss with Fillers: A midface lift repositions existing tissues but does not add volume in the way that dermal fillers do. For some patients, a combination of surgery and fillers may be necessary for the desired result. Stopping the Aging Process: No surgical procedure can halt the aging process. A midface lift can turn back the clock to a certain extent, but it does not stop further aging. Instant Results: Swelling and bruising are part of the healing process, and the final results of a midface lift will not be immediate. It can take several weeks to months for the outcome to fully materialize. Correcting Asymmetry: While a midface lift can sometimes improve facial symmetry, it cannot make a naturally asymmetric face perfectly symmetrical. Avoiding Future Procedures: As the aging process continues, additional procedures may be desired or necessary in the future to maintain the initial improvement. Understanding these limitations is crucial when considering a midface lift, and a board-certified plastic surgeon can provide a comprehensive assessment to determine the most suitable approach for achieving a patient’s aesthetic goals. CONSIDERING ADVANCED AGING For patients who exhibit significant signs of aging throughout the face, a full facelift, or a combination of facial procedures like a brow lift, lip lift and eyelid lift might be more appropriate to achieve comprehensive rejuvenation. PATIENT EXPECTATIONS AND SATISFACTION Setting realistic expectations is key to satisfaction with a midface lift. The procedure can offer a marked improvement in the appearance of the midface, but it’s crucial for patients to understand the specific changes a midface lift can and cannot achieve. A thorough consultation with a trained Facial Plastic Surgeon like Dr Sandeep can help ensure that the patient’s goals are achievable with the procedure they choose. REFRESH YOUR VITALITY: SCHEDULE YOUR MIDFACE LIFT CONSULTATION TODAY! Elevate your facial contours and rediscover your youthful vibrancy with a midface lift.  Perfect for targeting the central section of your visage, this procedure is designed to lift sagging cheeks, diminish deep nasolabial folds, and restore the buoyant fullness of youth. Sit down with experienced Facial Plastic Surgeon Dr Sandeep to learn how a midface lift can enhance your natural beauty and reverse the signs of aging.  We are committed to guiding you through the transformative possibilities that a midface lift offers, focusing on natural-looking, rejuvenating results. Secure your consultation today and take the first step toward a rejuvenated, uplifted facial appearance.

WHAT IS A DEEP PLANE FACELIFT? As we age, our cheeks and jowls can sag and create a more bottom-heavy look to the face. By lifting these areas, Dr Sandeep can restore volume to the face in the right places and create a more triangular shape.   It is Dr Sandeep’s opinion that the best method for lifting cheeks is a deep plane facelift, which we refer to as an “underwire bra for cheek fat.”   Deep plane facelift is a type of traditional Sub SMAS facelift that involves a deeper dissection of the facial tissues than a standard facelift. During a deep plane facelift, Dr Sandeep works on a deeper layer of tissue beneath the skin including the Superficial Musculoaponeurotic System (SMAS), called the “deep plane,” which allows for more comprehensive lifting and repositioning of the facial structures. PEANUT BUTTER AND JELLY (PB&J) SANDWICH ANALOGY Creating an analogy of a peanut butter and jelly (PB&J) sandwich for a deep plane facelift can help in understanding the complexity and layers involved in the surgical procedure. Here’s how one might compare the two: INGREDIENTS AND LAYERS BREAD (TOP SLICE) This represents the topmost layer of the skin. In a facelift, this is the layer that is initially cut and lifted to gain access to the deeper structures. Just like the top slice of bread is lifted to add or spread the ingredients, the skin is lifted to work on the deeper layers of the face. PEANUT BUTTER Think of the peanut butter as the superficial musculoaponeurotic system (SMAS), which is a layer of tissue that covers the deeper structures of the face and neck. In a traditional facelift, the SMAS is tightened to create a more youthful look. However, in a deep plane facelift, the surgeon works below this layer. JELLY The jelly can be likened to the deeper sub-SMAS structures, including the facial muscles and deeper fat compartments. The deep plane facelift targets these areas, going under the “peanut butter layer” to reposition these structures and improve facial contouring. The jelly’s movement when you spread it can be similar to how these deeper structures are adjusted during the surgery. BREAD (BOTTOM SLICE) This represents the deeper structures of the face, such as the bones and deep facial musculature. In the PB&J sandwich, this slice supports everything else; in the face, the bones provide the foundation upon which the muscles and other tissues rest. PROCESS OF ASSEMBLY VS. SURGERY PREPARATION Just like gathering your ingredients for the sandwich, a deep plane facelift requires careful planning and understanding of the facial anatomy. SPREADING THE PEANUT BUTTER AND JELLY In a PB&J, you must spread the ingredients evenly to cover the bread properly. In a facelift, the surgeon must similarly work with precision to manipulate the tissues evenly and smoothly for a natural look. REASSEMBLING THE SANDWICH Once the peanut butter and jelly are spread, you carefully put the top slice back on. Similarly, after repositioning the deeper tissues in a facelift, the skin is re-draped over the face, and any excess is trimmed to create a smooth, natural appearance without over-tightening or causing distortion. OUTCOME A TASTY SANDWICH VS. REJUVENATED APPEARANCE The goal with your PB&J is a delicious, well-balanced sandwich. With the deep plane facelift, the goal is a youthful, natural, and long-lasting rejuvenation that maintains the balance and harmony of facial features.   In both scenarios, the way ingredients or tissues are manipulated affects the final result. The deep plane facelift, like the careful layering and blending of peanut butter and jelly, requires meticulous technique to ensure that the final outcome is both aesthetically pleasing and structurally sound. DURABLE AND NATURAL LOOKING RESULTS Dr Sandeep believes that the strongest, most natural-looking, and durable lift can be achieved by lifting and tightening the skin on the neck to create a more defined chin neckline angle. To eliminate jowls and highlight the jawline, he also lifts them to make them less visible. Additionally, he lifts the cheeks to create a more youthful, top-heavy appearance. Deep plane facelift technique can be particularly effective for addressing advanced signs of aging in the midface and lower face, including jowls and marionette lines. INCISIONS The deep plane facelift involves slightly longer incisions than a standard facelift, which may run from the temple area down to the neck. However, the incisions are typically placed in areas that can be easily hidden within the natural folds and contours of the face. RECOVERY Recovery from a deep plane facelift can take longer than a standard facelift, with swelling and bruising lasting several weeks. RISKS As with any surgical procedure, there are risks associated with a deep plane facelift, including bleeding, infection, and nerve damage. Our team will provide you with detailed pre-operative and post-operative instructions that you must follow diligently to minimize the risk of complications. Read More on detailed explanation of deep plane and extended deep plane facelift>>

DETAILED EXPLANATION OF DEEP PLANE AND EXTENDED DEEP PLANE FACE LIFT WHAT IS A DEEP PLANE FACELIFT? As we age, our cheeks and jowls can sag and create a more bottom-heavy look. By lifting these areas, we can restore volume to the face in the right places and create a more triangular shape. In my opinion, the best method for lifting cheeks is a deep plane facelift, which we refer to as an “underwire bra for cheek fat.” The “deep plane” refers to the anatomical plane situated between the SMAS-platysma complex (consisting of muscle and fascia) and the deeper layer of muscles responsible for facial expression. This technique primarily involves manipulating and relocating muscle and fat layers rather than relying on skin traction and excision. Deep plane facelift is a type of traditional facelift that involves a deeper dissection of the facial tissues than a standard facelift. The deep plane facelift overcomes the issue seen in numerous contemporary facelifts, where the result appears excessively tight and overfilled. The key principle of this procedure is to lift solely beneath the deeper layer of tissue beneath the skin including the Superficial Musculoaponeurotic System (SMAS), called the “deep plane”. This allows for more comprehensive lifting and repositioning of the facial structures, allowing the skin to remain attached to the muscles, thereby avoiding an overly tight appearance. Deep plane facelift elevates the cheeks by releasing the facial tethering points within the deep plane, eliminating the need for adding fat or filler. DR SANDEEP’S PHILOSOPHY OF DEEP PLANE FACELIFT Dr Sandeep believes in achieving the most natural-looking and durable lift by addressing various elements of facial aging. He focuses on tightening the skin on the neck to create a more defined chin-neckline angle and works to eliminate jowls to highlight the jawline. Additionally, he aims to lift the cheeks to create a youthful, top-heavy appearance. DEEP PLANE FACELIFT SURGICAL PROCEDURE INITIAL CONSULTATION Dr Sandeep and his team hold a comprehensive consultation with the patient. An evaluation of patient’s aesthetic desires, their facial anatomy, skin condition, and overall health is performed. Information about the Deep Plane Lift, including benefits and risks, is thoroughly discussed. INFORMED CONSENT As a part of the informed consent process information about the deep plane facelift, including benefits and risks, alternative management options, downtime, pre-operative preparation and need for close post-operative follow-up is thoroughly discussed. PRE-SURGICAL PREPARATION Pre-operative tests may be ordered to ensure patient suitability for the procedure. Detailed instructions regarding medication adjustments, diet, and lifestyle are provided. DAY OF PROCEDURE The patient is welcomed into the state-of-the-art surgical facility used by our team. Strict hygiene and safety protocols are followed to ensure patient well-being. An experienced anaesthetist administers appropriate anaesthesia. SURGICAL APPROACH Dr Sandeep makes careful incisions around the hairline and ear so that the scars are well hidden. The incision is used to access SMAS, the deeper layer of the face. The deep plane facelift involves manipulating and lifting the SMAS and deeper facial structures by releasing tough fibrous ligaments. Dr Sandeep focuses on achieving a natural, balanced lift without over-tightening the skin. TISSUE MANIPULATION AND LIFTING Excess skin is removed. The deeper facial structures are repositioned, and sutures are used to anchor the lifted tissues in place, providing a durable a more youthful and natural appearance. Dr Sandeep uses specialized techniques to ensure minimal scarring and maximise aesthetic outcomes. The incisions are closed meticulously to encourage optimal healing. POST-OPERATIVE CARE The patient is moved to a recovery area for close monitoring. Instructions for post-operative care, including managing swelling and bruising, are provided. FOLLOW-UP AND MONITORING Patients return for scheduled follow-up appointments to assess the healing process. Dr Sandeep reviews the long-term results and makes any necessary adjustments. LONG-TERM RESULTS The deep plane facelift offers enduring rejuvenation and a more youthful facial appearance. Patient satisfaction is often high, thanks to the natural-looking results. OVERALL EXPERIENCE Patients opting for a deep plane facelift benefit from Dr Sandeep’s extensive experience, the team’s personalized approach, and the focus on achieving the most natural and satisfying aesthetic results. ADVANTAGE OF DEEP PLANE FACELIFT NATURAL-LOOKING RESULTS Dr Sandeep focuses on achieving a natural and durable lift, avoiding the overly “pulled” look that can result from other techniques. ADDRESSES MULTIPLE AGING SIGNS Effective in treating advanced signs of aging in the midface and lower face, such as jowls and marionette lines. LONG-LASTING OUTCOMES This technique leverages the fibrous and inelastic deeper layer of the face, which results in longer-lasting outcomes compared to the highly elastic skin. In fact, results often last for 10 years or more, making the deep plane facelift more durable than SMAS-type facelifts. DEFINED CHIN-NECKLINE ANGLE The technique tightens the skin on the neck, creating a more defined chin-neckline angle. ENHANCED JAWLINE AND NECK Works to eliminate jowls, highlight the jawline and rejuvenate he neck by removing excess fat and repositioning the SMAS. TENSION-FREE TISSUE MOVEMENT Dr Sandeep’s technique specifically incorporates the release of ligaments tethering the deep plane layer to achieve tension-free movement. This ensures that the facelift does not create an unnatural tightness. YOUTHFUL CHEEK APPEARANCE The release four key ligaments, resulting in corresponding natural lifting throughout the face and neck. The first ligaments released are the zygomatic ligaments, which tether the cheek. This allows for the elevation of drooping cheeks, restoring the heart-shaped face of youth. VOLUME RESTORATION Releases zygomatic ligaments to elevate drooping cheeks, improving nasolabial folds and addressing any hollowing and shadowing seen under the lower eyelids by restoring lost volume associated with aging and gravitational descent. NO NEED FOR FILLERS OR IMPLANTS Restores the heart-shaped face of youth without requiring additional procedures like fillers, fat transfers, or cheek implants. CONCEALABLE INCISIONS Even though the incisions are longer than those of a standard facelift, they are usually placed in areas that can be easily hidden within the natural folds and contours of the face. REVISION FACELIFT Deep plane facelift is particularly suited for patients who have previously undergone a facelift but are not satisfied with the