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Endoscopic Midface Lift

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One of the earliest signs of facial aging isn’t wrinkles - it’s volume loss and descent through the cheeks and midface. As facial tissues gradually shift downward, the cheeks can appear flatter, the under-eye area may look hollow or tired, and deeper folds can develop around the nose and mouth.

An endoscopic midface lift is an advanced facial rejuvenation procedure designed to elevate and restore the tissues of the midface, creating a smoother transition between the lower eyelids and cheeks while restoring youthful facial contours.

Performed by Dr. Jeffrey Gross*, this minimally invasive technique utilizes small, discreet incisions within the scalp and endoscopic technology to lift and reposition facial tissues with precision and minimal visible scarring.

The result is a naturally refreshed appearance that restores youthful definition to the cheeks and eyes without looking pulled, tight, or overdone.

An endoscopic midface lift is a surgical procedure that targets the middle third of the face, specifically the cheeks, lower eyelids, and upper nasolabial folds.

Unlike a traditional facelift, which primarily addresses the jawline and neck, a midface lift focuses on restoring the youthful position of the cheeks and supporting structures around the eyes.

Using advanced endoscopic techniques, Dr. Gross carefully elevates and repositions descended facial tissues through small hidden scalp incisions. This approach addresses facial aging at its source by lifting and elevating the deep tissues of the face rather than simply tightening the skin.

An endoscopic midface lift may improve:

  • Flattened or descended cheeks
  • Hollowing beneath the eyes
  • Early jowling
  • Deepening smile lines (nasolabial folds)
  • Midface volume loss
  • A tired or aged facial appearance
  • Poor cheek-to-lower-eyelid transition

If you are bothered by sagging cheeks, under-eye hollowing, or early facial aging, an endoscopic midface lift may help restore a naturally refreshed and youthful appearance.

Schedule a consultation with Dr. Jeffrey Gross at Mays Plastic Surgery to learn whether an endoscopic midface lift is right for you.

We proudly serve patients throughout Louisville and the surrounding region with advanced facial rejuvenation procedures designed to enhance confidence and preserve natural beauty.

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Many patients are surprised to learn that aging in the cheeks often contributes more to a tired appearance than wrinkles alone.

As cheek tissues descend over time:

  • The face may appear longer and less youthful
  • The under-eye area can develop shadows or hollows
  • Smile lines become more pronounced
  • Facial contours lose definition

By repositioning these deeper tissues, an endoscopic midface lift restores youthful support where it naturally existed rather than simply tightening the skin.

The result is rejuvenation that appears elegant, natural, and age-appropriate.

Patients often choose this procedure because it addresses facial aging in a subtle yet meaningful way.

Benefits may include:

  • Elevated and restored cheek contours
  • Improved under-eye appearance
  • Softer nasolabial folds
  • Enhanced facial balance and harmony
  • More youthful facial proportions
  • Small, well-concealed incisions
  • Natural-looking results
  • Long-lasting rejuvenation

Because the procedure focuses on deeper tissues rather than skin tension alone, results often appear softer and more natural than patients expect.

You may be a good candidate if you:

  • Notice flattening or sagging of the cheeks
  • Feel your face looks tired despite being well-rested
  • Have hollows or shadows beneath the eyes
  • Have developed deeper smile lines
  • Want facial rejuvenation without an overdone appearance
  • Are seeking a less invasive alternative to more extensive facial surgery
  • Are in good overall health and have realistic expectations

Many candidates are younger than traditional facelift patients and are seeking correction of early facial aging before more advanced laxity develops.

During your consultation, Dr. Gross will determine whether an endoscopic midface lift is the most effective approach for your concerns.

About Us

Every face ages differently, which is why every surgical plan begins with a personalized consultation.

During your appointment, Dr. Gross will:

  • Evaluate facial volume loss and tissue descent
  • Assess cheek position and lower eyelid support
  • Discuss your concerns and aesthetic goals
  • Review surgical and non-surgical treatment options
  • Explain recovery expectations and anticipated results
  • Develop a customized treatment plan

The goal is to create refreshed, balanced results that enhance your natural features, and restore your anatomy back to its youthful state.

An endoscopic midface lift is typically performed through small incisions hidden within the hairline and/or natural facial creases.

Using specialized endoscopic instruments, Dr. Gross carefully releases and elevates the deeper structures of the midface before securing them in a more youthful position.

By addressing underlying support structures rather than simply tightening skin, the procedure restores youthful contours while maintaining natural facial movement and expression.

Procedure details, anesthesia options, and expected operative time will be discussed during your consultation.

Recovery varies based on individual healing and whether additional procedures are performed.

Most patients experience:

  • Mild to moderate swelling and bruising
  • Temporary tightness or numbness
  • Gradual improvement over several weeks
  • Return to many normal daily activities within 1-2 weeks
  • Continued refinement as swelling resolves

Dr. Gross and the team at Mays Plastic Surgery will provide comprehensive postoperative instructions and follow-up care throughout your recovery process.

For more comprehensive facial rejuvenation, an endoscopic midface lift may be combined with:

  • Endoscopic brow lift procedures
  • Upper blepharoplasty
  • Lower blepharoplasty
  • Fat transfer
  • Laser skin resurfacing
  • Neuromodulators
  • Dermal fillers

Combining procedures can address multiple signs or aging while maintaining natural facial harmony.

Is an endoscopic midface lift the same as a traditional facelift?

No. A midface lift primarily addresses the cheeks and area beneath the eyes, while a traditional facelift focuses more on the lower face, jawline, and neck.

Will I look pulled or unnatural?

No. The goal is to restore youthful positioning of facial tissues while preserving natural facial movement and expression.

How long do results last?

Results are long-lasting, though natural aging will continue over time.

Can a midface lift help under-eye hollows? In many patients, elevating the cheeks improves the transition between the lower eyelids and cheeks, reducing the appearance of hollowing and shadows.

Am I too young for a facelift?

Many endoscopic midface lift patients seek treatment earlier than traditional facelift patients because they are addressing early signs of facial aging and volume descent.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.