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Facelift and Midface Lift

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Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery

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Abstract

Facelift and midface lifts are performed to give a more youthful appearance to the face. While this type of surgery is mostly performed on the aging face, it can also be used for patients with facial paralysis. Overall, aging involves gradual thinning of the epidermis, flattening of the epidermal-dermal border, loss of collagen and thickness in the dermis, decrease in collagen type I to type III ratio, and reduction in the skin cellular and protein components. Sun damage can worsen and accelerate this process. Lax skin with decreased collagen manifests through sagging and increased propensity to be wrinkled and furrowed. In addition, muscle laxity and atrophy can add to sagging tissues and lack of face, mandibular, and neck definition. This can be seen in the increase in the cervicomental angle of the neck, and jowling, which is sagging of tissues along the mandibular line. These particular effects of aging can be amenable to a facelift or midface lift.

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Author information

Authors and Affiliations

  1. Facial Plastic & Reconstructive Surgery, Ledors Sunai Medical Center, Los Angeles, CA, USA

    Richard A. Zoumalan M.D.

  2. Department of Ophthalmology, Division of Ophthalmic Plastic and Reconstructive Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA

    Christopher I. Zoumalan M.D.

  3. Larrabee Surgical Center, University of Washington, Seattle, WA, USA

    Wayne F. Larrabee Jr. M.D.

Authors
  1. Richard A. Zoumalan M.D.
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  2. Christopher I. Zoumalan M.D.
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  3. Wayne F. Larrabee Jr. M.D.
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Corresponding author

Correspondence to Richard A. Zoumalan M.D. .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, Associate Professor of Ophthalmology Wayne State University School of Med, Detroit, Michigan, USA

    Evan H. Black

  2. Oakland University William Beaumont, Clinical Professor of Ophthalmology Director, Oculoplastic Surgery, Southfield, Michigan, USA

    Frank A. Nesi

  3. Department of Ophthalmology, University of Central Florida, Orlando, USA

    Christopher J. Calvano

  4. William Beaumont School of Medicine, Clinical Professor of Ophthalmology Co-Director, Oculoplastic Surgery, Detroit, Michigan, USA

    Geoffrey J. Gladstone

  5. Former Chief of Ophthalmology, Emeritus Clinical Prof of Ophthalmology Case Western Reserve University, South Euclid, USA

    Mark R. Levine

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© 2012 Springer Science+Business Media, LLC

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Zoumalan, R.A., Zoumalan, C.I., Larrabee, W.F. (2012). Facelift and Midface Lift. In: Black, E., Nesi, F., Calvano, C., Gladstone, G., Levine, M. (eds) Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0971-7_32

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  • DOI: https://doi.org/10.1007/978-1-4614-0971-7_32

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0970-0

  • Online ISBN: 978-1-4614-0971-7

  • eBook Packages: MedicineMedicine (R0)

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