Rejuvenate Your Appearance with a Mid Facelift

As we age, our collagen production decreases, and mid face adipose stores shrink. This results in deflation, uneven facial contours, and sagging skin. Other factors-such as stress and sun damage-can exacerbate these issues. Because the lower eyelids and the cheeks are interconnected, when your cheeks begin to sag, it can depress the junction between them. Downward moving tissue in the cheeks can also deepen the lines around your nose and mouth.

There are a variety of procedures designed to treat this problem but most often lipoaugmentation through a 2-millimeter cannula with fat harvested by aspiration of another area is usually done. Alternatively a lower eyelid blepharoplasty is done a with an adipose fascia flap of bulging fat advanced over the lower orbital rim to fill the cheek. Occasionally a mid facelift with suspension of the cheeks and/or placement of a small cheek implant is needed to solve the issue.

A close up of a woman's mid facial area.

A mid facelift targets the area under your eyes as well as the cheeks and the corners of your mouth. 

What is a Mid Facelift?

As we age, our collagen production decreases. This results in more wrinkles, uneven facial contours, and sagging skin. Other factors—such as stress and sun damage—can exacerbate these issues. Because the lower eyelids and the cheeks are interconnected, when your cheeks begin to sag, it can affect the area under your eyes, making them appear puffy and haggard. Downward moving tissue in the cheeks can also deepen the lines around your nose and mouth. With a mid facelift, Dr. Hurwitz can reposition the cheeks while smoothing wrinkles and bags under the eyes. This procedure is often combined with fat injections or implants to create smooth and aesthetically pleasing contours.

Who is a Candidate? 


Most patients who desire a mid face surgery are over the age of 40. However, if environmental factors, weight fluctuations, or genetics have caused premature aging, it is posssible for patients in their 30s to have this procedure. You made be a good candidate for a mid facelift surgery if you want to address problem areas in your cheeks, under your eyes, or around your nose. Mid facelift surgery can help address:

  • Loss of volume in the cheeks
  • Saggy cheeks
  • Deep creases and wrinkles around the nose and mouth
  • Downward corners of the mouth
  • Bags and wrinkles under and around the eyes

During your initial consultation, we will meet with you to discuss your areas of concern to format a treatment plan designed to meet your cosmetic goals. To make sure you are a good candidate for facial plastic surgery, we will carefully examine your medical history, current medications, lifestyle habits, skin texture, and facial characteristics. Patients who smoke or have unrealistic expectations are generally not good candidates for a mid facelift surgery

A mid facelift can tighten sagging skin around your cheeks and the corners of your mouth and improve the tired, hollow-looking areas below your eyes. 

How the Mid Facelift Surgery is Performed

A mid facelift can generally be performed under local anesthesia as an outpatient procedure in about two hours. For your safety, you will need to arrange for a loved one to drive you to and from the procedure. Once anesthesia is administered and you are comfortable, Dr. Hurwitz will make an incision along the hairline near your temples and inside your mouth. If necessary, incisions may also be made along your lower lash line. All incisions are discreet and well-hidden to minimize scarring and encourage a faster recovery.

After the necessary incisions, the cheek will be freed and then suture suspended while smoothing the skin under and around the eyes, nose and mouth. Long lasting sutures will be used to hold the repositioned tissues in place. If you have severe volume loss in your cheeks, facial contours can be restored with either fat grafting or implants. Before closing the incisions, any excess skin will be removed.

Schedule Your Consultation

If you have cosmetic concerns about the middle area of your face, we encourage you to meet with Drs. Hurwitz and Davila to learn more about the benefits of a mid facelift. To schedule your consultation, contact us online or call our office at (866) 241-0364.

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I honestly never thought of myself as a serious candidate for elective surgery ... but I’m already feeling and looking so much better.* Jill's Story

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Pittsburgh (Main) Office

3109 Forbes Ave
Ste 500
Pittsburgh, PA 15213

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Pittsburgh (Main) Office

3109 Forbes Ave
Ste 500
Pittsburgh, PA 15213

Open Today 8:30am - 5:00pm

More Info Directions (412) 802-6100