Is a midface lift always necessary after blepharoplasty? Dr. Hsin-Yu Chen explains the key to periorbital rejuvenation.
Many people believe that eye bags are simply a matter of fat bulging and that simply "removing the eye bags" will restore their vitality. However, in her clinical practice, Dr. Hsin-Yu Chen has observed that many patients over 40 years old or those experiencing severe fatigue often have other issues besides eye bags.Tear trough hollowing, sagging cheekbones, and loss and loosening of mid-face cheekbonesComplex problems.
If only eye bags are treated, although the area under the eyes may appear smoother after surgery, the surrounding tissues may collapse, leaving the patient still looking older. Therefore, the trend in cosmetic surgery towards one-stop periocular rejuvenation surgery tends to focus on addressing these issues.Eyelid surgery與Mid-face liftingOnly by combining assessments and reshaping the entire structure from the depths can a more natural, comprehensive, and lasting anti-aging effect be tailored to your individual needs.
The formation of eye bags is not necessarily just due to fat protrusion.
Many people believe that eliminating eye bags is simply a matter of "removing fat," but in fact, aging around the eyes is never a single problem, but rather a chain reaction.
As we age, the structure of our faces is subtly changing:The decline in the support of deep ligaments and the relaxation of the orbital septum cause the fat under the eyes to begin to protrude forward; the loss of elasticity in the superficial skin and the gradual sagging of the overall mid-face tissues.
Therefore, the "aged appearance" you see when you look in the mirror is definitely not just about eye bags, but rather a sign of aging throughout the mid-face:
- Protruding eye bags + increased under-eye shadow(Looks tired and listless)
- Deepening tear troughs + sagging cheekbones(Loss of fullness in the cheeks)
- Nasolabial folds become more pronounced(A direct extension of the problem of mid-face sagging)
Why do some people still not look young enough after having eyelid surgery?
Why is the effect of looking younger not obvious after eye bag surgery? This is actually a key point that many people easily overlook before the operation. If the root cause of aging is not just eye bags, but the entire mid-face support structure is loose and sagging, simply removing the fat from the eye bags may improve the bulging under the eyes, but the tear troughs will be obvious, the apple cheeks will continue to shift downward, and the mid-face hollowing and tiredness will not disappear.
Therefore, many people wonder after surgery if their eyelid surgery has failed, or even if their eye bags are gone but they don't look as young or energetic as they imagined. This is a question Dr. Hsin-Yu Chen often emphasizes when evaluating eyelid surgery, because in addition to addressing the eye bags themselves, it's crucial to consider the mid-face structure and overall aging, and may recommend surgery if necessary.Eyelid surgery combined with mid-face liftTo achieve the desired youthful effect.
What are the advantages of having eyelid surgery and a mid-face lift done together?
A midface lift is not simply about pulling the skin upwards; it involves repositioning the midface structure through the support of loose, sagging deep soft tissues and ligaments, improving midface sagging caused by aging. Therefore, when blepharoplasty is combined with a midface lift, it not only removes eye bags but also provides a more comprehensive improvement to the tired, sagging appearance from under the eyes to the midface.
Improves puffy eyes and creates a smoother under-eye contour.
Eyelid surgery can adjust protruding fat and loose skin, improve bulging eye bags, and make the under-eye line smoother.
Improves tear trough hollowing and reduces under-eye shadows
Many people's tear troughs are not simply sunken, but are caused by a combination of protruding eye bags and mid-face sagging. By combining eye bag surgery with a mid-face lift, the unevenness under the eyes can be improved, making the tear troughs and under-eye shadows less noticeable, and the overall complexion looks brighter and more energetic.
Improves sagging cheekbones and restores three-dimensionality to the mid-face.
As we age, the cheekbones gradually lose support and sag, making the face appear flat and tired. A mid-face lift can reposition the sagging mid-face tissues, helping to restore the fullness of the cheekbones and improve facial contours and a more youthful appearance.
Improves mid-face sagging, making the contours firmer and more natural.
The midface is a crucial area connecting the eye area and the lower face. Sagging in this area not only makes the area under the eyes appear older but also diminishes the overall firmness of the facial contours. A midface lift can improve sagging and drooping in the midface, resulting in smoother, more natural facial lines, rather than just providing localized improvement.
Improves early signs of nasolabial folds and delays signs of aging.
The formation of some nasolabial folds is closely related to the sagging of mid-face tissue. Once the mid-face regains support, the creases caused by sagging can be reduced, making early nasolabial folds less noticeable and the face look younger.
Since everyone's aging process, periorbital condition, and midface support are different, whether a midface lift is necessary and which type of midface lift surgery is suitable requires a detailed evaluation by a professional plastic surgeon.
If the sagging is in the early stages from under the eyes to the mid-face, it can be considered to perform surgery simultaneously through an incision in the eyelid.Mid-face lift with eye bagsIf the midface shows significant sagging and the area of aging is extensive, then it may be recommended to choose...Endoscopic faceliftThis procedure repositions the sagged deep tissues to achieve a more complete lifting effect. The doctor will tailor the most suitable surgical method based on the shape of the eye bags, the mid-face support structure, the degree of skin laxity, facial proportions, and the individual's desired results, so as to improve eye bags while maintaining the naturalness and youthful appearance of the overall contour.
Who are suitable candidates for blepharoplasty combined with mid-face lifting?
Not everyone with eye bags needs a midface lift at the same time. For younger individuals under 35, if there is only simple fat protrusion under the eyes, eye bag surgery alone can achieve good results. Generally, eye bag surgery and a midface lift are only recommended for evaluation together if the following conditions are met:
✔ Severe under-eye bags combined with prominent tear troughs
✔ Sagging cheeks
✔ Sagging mid-face
✔ Hoping to improve feelings of fatigue and aging
✔ For those who want a one-stop solution for rejuvenating the area around the eyes
A new concept for mid-face rejuvenation: not just eliminating eye bags, but also a profound reshaping of the face structure!
The problem of eye bags is often not just about the eye bags themselves. When they are combined with tear trough depressions, sagging cheeks, or mid-face laxity, it is often difficult to achieve the desired rejuvenation effect by treating only one local area.
If you are also troubled by eye bags and mid-face aging, you are welcome to make an appointment.Arsty Clinic Dr. Hsin-Yu Chen ClinicConsultation: Through in-depth and precise evaluation by a professional plastic surgeon, we will provide you with timely and customized treatment recommendations for under-eye bags and mid-face enhancement.
