Good Afternoon Dr. Nederi,
I have received perlane injections on two separate occasions to address grooves across my cheeks. It works for a while but of course I have to keep getting them done and it’s unpleasant and expensive.
My plastic surgeon recommends a mid-face lift, which I am not at all comfortable with, rather than cheek implants. I don’t see the point in a midface lift if I don’t have jowls and such that seem to warrant something that major. Plus, I haven’t heard about great long term results when dealing with soft tissue lifts like the midface lift.
When I look at my face, it appears that I have no cheeks at all. What little I had when I was younger have simply melted away.
When, in your opinion, is a midface lift warranted over cheek implants?
To improve the nasolabial folds the easiest and most common approach is to use injections such as Restylane, Perlane, Juvederm, Radiesse, Collagen, etc.
Fat injection is also a great option but its a very technique dependent procedure. Good “coleman” technique can give permanent results but poor technique will have very little long term results past 6 months.
Artefill is an alternative which is a permanent filler.
If the midface atrophy is evident then again fat injections are an option as is malar or submalar implants. These procedures are geared toward enhancing volume.
If the midface fat and soft tissue had fallen inferior-medially towards the nasolabial folds creating even deeper nasolabial folds then a midface lift is an option. Many surgeons prefer to do some fat injections along with the midface lift to address the descended tissue and the loss or lack of volume.
The results of Midface lifts last about 3-7 years. This procedure will slightly improve jowls as a side effect but it is not geared towards improving the jowls. A cheek lift or facelift is the proper surgery to improve jowls.