What is Endoscopic Mid-Face Lift?

Endoscopic mid-face lift is a modern, minimally invasive lifting technique that surgically corrects sagging, volume loss, and tired appearance in the mid-face region. With this method, fat pads that have descended over time in the cheek area are repositioned to their original anatomical location, and the mid-face contour is reshaped. This results in a younger, more vibrant, and dynamic facial expression.

The procedure is performed using an endoscope through small incisions hidden within the hairline of the temples. Therefore, scars are invisible, and the recovery process is comfortable.

What is the Mid-Face Area?

The mid-face extends from the sides of the nose to the cheekbones and upper cheek area, forming the central part of the face. It includes the area between the lower eyelids and the mouth, making it one of the first regions to show signs of aging. When volume loss and sagging occur here, the face appears tired and sunken.

Why Does the Mid-Face Sag?

Aging, gravity, rapid weight changes, sun damage, and genetic factors cause the tissues in the mid-face to lose elasticity. When the support of the cheekbones diminishes, the cheeks descend, the distance between the lower eyelid and the cheek increases, and nasolabial folds become more pronounced.

Sometimes, this sagging can be seen at younger ages due to structural differences. Mid-face aging occurs earlier in individuals with weaker cheekbone support.

Why is Endoscopic Mid-Face Lift Performed?

This surgical procedure restores lost volume and youthful appearance in the mid-face. Using the endoscopic technique, tissues are lifted naturally, giving the face a balanced shape.

Goals of the procedure:

• Rejuvenate the junction line between lower eyelid and cheek,
• Enhance the prominence of the cheekbones,
• Reduce the depth of nasolabial folds,
• Correct mid-face sunkenness,
• Give the face a fresher, brighter, and more energetic expression.

Who is a Candidate for Endoscopic Mid-Face Lift?

This procedure is ideal for individuals aged 25–45 who experience mid-face volume loss and sagging. Additionally, it is highly effective for those with:

• Pronounced lower eyelid–cheek transition,
• Deepened nasolabial folds,
• Cheeks beginning to descend,
• Genetically weak cheek support

How is Endoscopic Mid-Face Lift Performed?

The operation is performed under general anesthesia. Small incisions are made in the hairline of the temples, and endoscopic instruments are inserted. The tissues of the mid-face are clearly visualized using a camera, and fat pads are repositioned to their ideal location.

Surgical Steps

• Access mid-face tissues through minimal incisions in the hairline.
• Release the descended fat pads.
• Reposition tissues to their correct anatomical location.
• Secure soft tissues upward.
• Incisions are hidden in the hairline, leaving no visible scars.

The surgery usually lasts 2–3 hours; combined procedures may extend the duration.

Issues Corrected by Endoscopic Mid-Face Lift

• Sunken cheeks and volume loss,
• Sagging that contributes to under-eye bags,
• Loss of cheekbone definition,
• Deepening of nasolabial folds,
• Flattened and tired appearance of the mid-face

These issues are significantly improved after surgery.

Recovery After Endoscopic Mid-Face Lift

Recovery varies per individual but is generally comfortable. Bruising typically resolves within 7–10 days, and swelling, although noticeable in the first weeks, mostly subsides within 4–6 weeks.

Recovery Recommendations

• Keep the head elevated,
• Apply cold compresses,
• Take prescribed medications regularly,
• Return to heavy exercise after the 6th week

Most patients can comfortably resume social activities within 10–14 days.

Risks of Endoscopic Mid-Face Lift

As with all surgical procedures, there are some risks, including bleeding, infection, temporary numbness, or swelling. However, when performed by an experienced surgeon, the likelihood of complications is very low.

Is Endoscopic Mid-Face Lift Permanent?

This operation provides a long-lasting lifting effect. Although aging continues, repositioning the tissues anatomically ensures that results are maintained for many years.

Which Procedures Can Be Combined with Endoscopic Mid-Face Lift?

For a more comprehensive facial rejuvenation, endoscopic mid-face lift can be combined with the following procedures:

Eyelid Surgery

Reduces signs of aging around the eyes for a fresher appearance.

Brow Lift

Revitalizes the upper face and complements the mid-face lift.

Temporal Lift

Reduces lines around the eyes and creates harmony with the lifted cheeks.

Neck Lift

Provides holistic rejuvenation for the face and neck.