Can An Endotine Midface Lift Help With The Sagging Superficial Cheek Layers?

Q: Dr. Eppley, After my cheek implant removal I had a midface lift to help with the cheek sagging. While the mid-face lift did help reposition the deeper layers of my face, the more superficial soft tissue  and fat remains significantly lower than the deeper layers of muscle on my face. 

I’ve been using PDO thread lifts a couple of times a year to temporarily lift this tissue, and while I love the results and it perfectly addresses my concerns, it doesn’t last and isn’t cost effective long term. 

I’m wondering if an intraoral incision with the use of an Endotine or sutures could reposition and secure the soft tissue to the SMAS for a more lasting result. I believe it was this layer that was not addressed during my mid face lift and it was this layer that got disconnected when pockets for the implants were created in my face. 

A:The Temporal Endotine Midface Lifting technique is like any deep plane facelift approach…it elevates the deeper tissues as its effect are at the subperiosteal plane level. Your PDO threads have been effective because they are at a superficial tissue level which the Endotine device will not affect.

Dr. Barry Eppley

World-Renowned Plastic Surgeon