Cosmetic Surgery

Midface Lift

A Midface Lift in St. Louis may be the perfect cosmetic procedure to restore your former youthfulness. It is one of your best options when the aging process causes sagging of the tissues of the middle of the face and around the cheekbones. If this sagging happens prematurely, it can even make you look older than you are.

A Midface Lift is a surgery that can be so subtle that after you have fully healed, your friends may only say that you look younger and more rested. This cosmetic surgery is less invasive than a full face lift. What can it accomplish? A Midface Lift can:

  • Elevate drooping skin around the cheeks and middle of the face, defining your cheeks.
  • Restore the contour of sunken cheekbones.
  • Reduce the hollow appearance between the top of your cheekbones and your lower eyelids.
  • Reduce creases between the nose and mouth.

Your Consultation

When you arrive at our office, you will need to provide a medical history. We need to know about any major illnesses or problems you have had, such as heart disease, hypertension, prior surgeries (especially facial surgery), etc.

We also need to know your medication history, including medications or supplements that thin the blood. All over-the-counter pain/fever reducers (except Tylenol) and non-steroidal anti-inflammatory drugs (NSAID) are off limits for a week before eyelid surgery, as are herbal medications such as ginkgo biloba, St. John’s Wort, fish oil, flax seed oil, and vitamin E.

Dr. Holds will ask you what bothers you the most about your face. He will discuss your surgical goals, talk about what is attainable, and create a plan to accomplish it. A mutual understanding of the goals, expectations, and outcomes is essential to a great result!

An examination is then performed to look for any eye conditions such as a dry eye. This could limit or alter the surgical plan and be a possible post-operative concern. As a board-certified ophthalmologist (eye surgeon), as well as an ophthalmic plastic surgeon, Dr. Holds is attuned to eye diseases and concerns. Some of the best facial and cosmetic surgeons in the area regularly refer patients to Dr. Holds because of his expertise and ability to operate safely on patients who are at higher risk for complications.

What is a Midface Lift like?

In a Midface Lift, your surgeon tightens just the excess skin in the midface. This is in contrast to a full face lift, where the skin is lifted toward the ear. The small incisions for a Midface Lift are usually made in your hairline, inside your mouth, or in the crease below the eyelashes of your lower eyelid. As a result, any minor scarring that occurs after surgery is generally completely hidden.

The procedure is performed on an outpatient basis, under an anesthetic and sedation. The surgery takes one to three hours depending upon what needs to be done in order to achieve the results you want.

Midface Lift Recovery

Since you will feel sleepy from the sedation, you must have someone drive you home after your surgery, but you can go home the same day.

Most people experience some bruising and inflammation post-surgery, which may be noticeable for about two weeks, although swelling can last a bit longer for some. Applying ice packs to swollen areas and elevating your head will help to reduce the inflammation and ease any discomfort you feel. You can also take pain medication if you need it, which Dr. Holds will discuss with you.

Dressings may be applied to the incision areas, but these are removed the next day. You must also return to our office after six to eight days in order to get your sutures removed. If chewing is uncomfortable for the first day or two, you may prefer to eat and drink only liquids, such as protein shakes and soups.

When can you go back to work? Most people can return after about a week, and you should be able to wear makeup by then. We advise all patients who have this procedure to refrain from strenuous exercise for at least a week, and it’s very important to always wear sun block when outside, especially during the two months after your surgery.

Is a Midface Lift the answer for you? Call our office now at (314) 567-3567 to find out.