Mid Facelift

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A mid-facelift, also known as the vertical facelift or cheek lift, focuses on the cheeks and under eye hollows. This procedure helps to soften smile lines and lift the corners of the mouth. It is common to also have a blepharoplasty procedure or micro-fat grafting done in conjunction with a mid-face lift.

What it is

The mini or mid-facelift rejuvenates the central section of the face, from the lower eyelid to the upper lip, by repositioning sagging tissues and enhancing the volume of soft tissue that is lost in the midface with age, sun exposure and gravity.

What It Does


A mid-facelift targets the cheek and under eye area to give patients a younger, more rejuvenated appearance. Similar to the SMAS facelift, the mid-facelift manipulates the underlying muscles to create a longer lasting solution for those with sagging skin and facial features. The mid-facelift though, also suspends the cheek fat pad and the eye muscle to create a complete transformation for the middle third of the face, erasing fine lines and wrinkles around the temples.

Once the patient has been thoroughly anesthetized, the surgeon will make the initial incisions around the hairline and forehead to access the drooping facial muscles. Incisions may also be made for endoscopes to improve visualization. The doctor will then dissect the skin from the muscle in the forehead and cheek area. At this point, the surgeon will reposition the undermined muscles to their new position. The "flap" that is raised includes the SMAS muscle, malar fat pad and orbicularis oculi muscle. These muscles will then be fixated in a higher position, closer to the temples and to the sides of the rim of the eye bone. It is common for patients to combine a mid-facelift with other surgeries such as a blepharoplasty or fat grafting procedure to enhance the overall outcome.

The goal of a mid-facelift is to lift the cheek area and rejuvenate the face by addressing fine lines around the mouth and hollowing of the lower eye.

​Solution for


  • Hollow Eyes

  • Facial Volume

  • Fine Lines/Wrinkles

  • Facial Rejuvenation

  • Dark Undereye Circles

  • Bags Under the Eye


Since it's a cosmetic procedure, the mid-facelift isn't covered by health plans: It costs around $7,500, depending on where you have it done.

During the procedure

If you have surgery on your upper and lower eyelids, the surgeon generally works on your upper lids first. He or she cuts along the fold of the eyelid, removes some excess skin, muscle and possibly fat, and closes the cut.

On the lower lid, the surgeon makes a cut just below the lashes in your eye's natural crease or inside the lower lid. He or she removes or redistributes excess fat, muscle and sagging skin, and closes the cut.

If your upper eyelid droops close to your pupil, your surgeon may do blepharoplasty with a procedure called ptosis (TOE-sis) that provides additional support to the eyebrow muscle.

After the procedure

External stitches from a mid-facelift are typically removed after 1 week. There is normally swelling and bruising that may take several weeks to resolve. Most patients can return to work within 2 weeks of the procedure. Refrain from strenuous physical activity for 3 weeks since this could make the swelling and bruising worse. Final results are usually seen after two to four months.

Side Effects

  • a stiff, puffy and numb face for a few weeks or months

  • temporary bruising of the cheeks – the bruises will eventually move down the neck with gravity

  • scars – these fade, but won't completely disappear

  • a raised hairline or sideburn

What Could Go Wrong

A facelift can occasionally result in problems, including:

  • a collection of blood underneath the skin (haematoma)

  • nerve injury and loss of sensation or movement in the face

  • asymmetrical facial features  – including the position of the earlobe 

  • hair loss or a small but permanent reduction in hair growth around the scars

  • thick, obvious scars developing

  • Any type of operation also carries a small risk of:

  • excessive bleeding

  • developing a blood clot in a vein

  • infection

  • an allergic reaction to the anaesthetic

The surgeon should explain how likely these risks and complications are, and how they would be treated if they occurred.


Occasionally, patients find the desired effect wasn't achieved and feel they need another operation. You should check how this would be funded with your surgeon.

Seek medical attention immediately if you experience any of the following

  • Shortness of breath

  • Chest pain

  • An unusual heart rate

  • Severe new eye pain

  • Bleeding

  • Vision problems

Long Term Results

Mid facelift surgery results can last at least 10 years and more depending upon your age, health and lifestyle.