Midlift - could I be a candidate at almost 72? (Photos)

Question

I'm almost 72, and I understand that a midlift is appropriate for much younger women, but I had a lowerlift in 2018, which I think is still doing well. Could i be a candidate for a midlift?

Pasha Mostofi, MD, DMD · Answer

Thank you for sharing your photo and history, that’s very helpful. You’re correct that a midface lift is more commonly performed in younger patients, but age alone doesn’t determine candidacy. Based on your photo, you appear to have some volume loss and descent in the midface (cheek area), with relative preservation of your jawline from your prior lower facelift, which is consistent with what you’re noticing. In situations like yours, a targeted midface lift can be appropriate, especially when the lower face still looks good but the cheeks and under-eye area show aging. That said, at your stage, many patients benefit from a more comprehensive approach, such as a revision or extended facelift that blends the midface with the lower face, sometimes combined with conservative fat grafting to restore volume in a natural way. A standalone midlift can work, but it may not always give a fully harmonious result if there is also subtle laxity elsewhere. The best option really depends on your goals, anatomy, and how much correction you’re looking for, so an in-person evaluation with an experienced facelift surgeon would be important, but you are certainly not “too old,” and your prior surgery does not exclude you from further refinement.

Arthur Dean Jabs, MD, PhD, FACS · Answer

It has been six years since your facelift. 
You have some mid face volume loss but the real area of concern is your neck. 
You could either address the neck through a neck only procedure incorporating the incisions from you facelift or you could consider a deep plane lift to address both the midface and the neck.

In the interim fat transers to the midface will help elevate the area.

All the Best,

Dr. J

Gregory Lakin, MD · Answer

Thank you for your question. You may still be a candidate for a midface lift at 72 if your main issue is the cheek and midface area, and your lower facelift is still holding well. Age alone does not rule it out; the real question is whether your current concern is midface descent, under-eye and cheek hollowing, or loss of cheek support, versus skin laxity that would be better treated with another facelift or volume restoration. In some patients, a midlift can help elevate the cheeks and soften the transition under the eyes, but in others, fat grafting, lower blepharoplasty, or a revision facelift may be more appropriate. Have an in-person examination with a board-certified surgeon to determine whether a midface lift is truly the best option for your anatomy and goals.

Stephen Prendiville, MD · Answer

Thank you for your question.  I think that you are asking about a subperiosteal endoscopic midface lift, which would be a waste of time in isolation.  I would not offer this as an option for you, mainly to keep you away from disappointment. I would offer a revision deep plane facelift to address your midface, jawline, and neck. It's always better to choose a procedure which will add value in terms of making the investment and downtime worthwhile.

Andrew Miller, MD · Answer

Based on your photos you are a candidate for a subperosteal midface lift with possibly some fat transfer at the same time. With this procedure, the lateral brow is also raised as well. Be sure to have consult with a facial expert with experience in this particular procedure.

Oliver Chang, MD · Answer

Based off your photos - for 72 you have aged very well, you look not past 50-55. There are nasolabial folds, some midface decent, slight brow ptosis, (asymmetrical on either side). If there has not been any previous facelift - (can not see if there are any scars in front of the ear) but a midface lift with some fat grafting can be done either way - just endoscopically would be easier if there are no prior history of surgery, fillers, energy devices used there. The scar would be approached in the hairline hidden similar to your neck lift (likely behind the ear into the hairline). If a traditional facelift was needed, then the scar would be in front of the ear into the hairline or around the sideburn. With a proper physical exam with a few surgeons will give you the different approaches offered and see which you feel best with. In my practice, midface lifts (young or old), usually a brow lift is done as well even if there not much ptosis or much brow elevation desired. Hope this helps.

Kadir Berat Oyur, MD · Answer

Thank you for your question.You appear to be a good candidate for a deep plane facelift and necklift, which can address both the face and neck. This approach can lift the midface, redefine the jawline, and tighten the neck, providing a more comprehensive and harmonious result.A consultation is however necessary to determine the most appropriate surgical plan based on your goals and medical history.I hope this information is helpful.

Mehmet Ozdemir, MD · Answer

Thank you for your question.
You appear to be a suitable candidate for a deep plane facelift and neck lıft to address both the face and the neck. This approach can improve midface descent, redefine the jawline, and provide meaningful tightening of the neck for a more comprehensive and harmonious result.A consultation can confirm the most appropriate surgical plan based on your goals and medical history.
I hope this helps.

Marcos Salazar, MD · Answer

Hello, this is Dr. Marcos Salazar from Mexico.
In many cases, the term “mid facelift” is often used for marketing purposes to make the procedure sound less invasive. However, for patients who present moderate to significant skin laxity, a Deep Plane Facelift is usually the more comprehensive and effective option.
This technique allows us to reposition the deeper facial structures, correct muscle laxity, and restore long-lasting firmness and definition to the face and neck &mdash; often with results that can last 10 years or more.
There is no need to be afraid of this procedure. When performed by a board-certified plastic surgeon, it is very safe. Most patients experience minimal discomfort, and recovery is generally smoother than many expect.
If you would like to schedule a consultation, I would be happy to evaluate you in person, explain the procedure in detail, and answer all of your questions so you can feel fully informed and confident in your decision.
Warm regards,Dr. Marcos Salazar

Don W. Griffin, MD · Answer

Thank you for your inquiry regarding a mid facelift after a previous lower facelift. Based on your pictures, it is evident that you have upper and mid face sagging with brow ptosis, excess upper eyelid skin, cheek descent with prominent nasolabial folds. I cannot assess jowling or neck laxity in the photos presented. If you are not bothered by your upper face issues, you could certainly consider what you describe as a mid lift, but a better option would be to have a complete assessment to determine the best option for you. In most secondary facelift patients, addressing the cheeks without addressing the neck does not produce the best overall result and can look unnatural. Recovery is really no different between a mid lift and a full face and neck lift, but the results of taking a comprehensive approach will be worth it in the long run.

Midlift - could I be a candidate at almost 72? (Photos)

Answers (11)

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