Midface Lift
Before and After Photo Gallery

This patient underwent cosmetic brow and lid surgery to help improve her appearance. She also had volume loss along her midface and cheeks. Surgery was performed to help improve her brow position and shape through an endoscopic brow lift, and her lids were addressed through upper and lower lid blepharoplasty. In order to address her volume loss though, she underwent fat grafting to allocated areas along her cheeks and midface. The result is natural but certainly shows an improved appearance to her cheek and midface.

This patient presented with a left lower lid ectropion, where the eyelid was everted out. It was resulting in many ocular symptoms including tearing, red eyes, and discomfort. He also had loss of volume in his midface, which is commonly seen with aging. A standard ectropion repair alone would likely improve the lid position, but performing a midface resuspension at the same time helps provide added “support” for the lid while it heals. He underwent an ectropion repair along with a midface resuspension (aka lift) to help keep the lid stabilized and in a better position after surgery. His lid has remained stable as seen in his post op photos taken six months after surgery.

This patient had significant lower lid ectropions, where the position of the eyelid is directed outward and away from the eyeballs. This results in tearing and constant irritation. He underwent lower lid ectropion repair and a midface lift to help keep his eyelids positioned as best as possible after surgery.

This patient had prior surgery to both lowerlids which as resulted in lower lid retraction and difficulty closing her lids. She underwent eyelid reconstructive surgery in order elevate her lower lids to a more anatomically normal position. A canthoplasty (lid resuspension) with a hard palate graft (taken from the roof her mouth) was used to help keep the lower lid in a new position. A midface lift was also performed to elevate her midface and to allow her lower lids to be resuspended and supported at a more anatomically appropriate position.

This patient had a severe right-sided facial nerve palsy (weakening of her facial nerve) leaving her unable to close her lids when she tried to blink. Her right eye was very irritated and needed to be addressed.

Postoperative photograph taken 1 montha after surgery. She underwent a complex surgery which included placing a gold weight in her upper lid to help her close her lid better. In order to help elevate her lower lid, she also underwent a midface (SOOF lift) and lid resuspension, hard palate posterior spacer graft, and canthoplasty.

I prefer to use a hard palate graft in cases of moderate to severe retraction; I find that they provide exceptional long-lasting results in lower lid retraction. She did well post operatively and was symptom free and her eye continued to be healthy.

This patient suffered a very severe facial nerve palsy where her whole left side of her face was paralyzed. She couldn’t close her lids well and lower lower lid was retraction.