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Midface Lifting to Improve Drooping Cheekbones and Sunken Volume

Etonne Plastic Surgery Clinic · 에톤성형외과의원 · February 4, 2025

As people enter middle age, gradual changes begin to appear in the midface, that is, the central area extending from below the eyes to the tip of the nose, and these changes can ha...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Etonne Plastic Surgery Clinic

Original post date: February 4, 2025

Translated at: April 23, 2026 at 2:52 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Midface Lifting to Improve Drooping Cheekbones and Sunken Volume image 1

As people enter middle age, gradual changes begin to appear in the midface,

that is, the central area extending from below the eyes to the tip of the nose,

and these changes can have a major impact on appearance.

As skin elasticity decreases and the cheekbones appear sunken, the facial outline becomes less defined,

adding a more aged impression.

People who experience these changes are often told, "You look tired,"

which can lower self-esteem and cause a loss of confidence.

In fact, many of the people who visit our clinic

often share these kinds of concerns.

Midface Lifting to Improve Drooping Cheekbones and Sunken Volume image 2

In such cases, rather than simply removing wrinkles,

midface lifting can be effective in restoring harmony to the entire face.

Because the midface is an area where various types of aging occur at the same time,

short-term procedures such as fillers or Botox alone make it difficult to address the underlying issue.

This is because aging is accompanied not only by wrinkles on the skin surface, but also by sagging of the tissue itself and a loss of volume,

which leads to the overall facial contour collapsing.

Midface Lifting to Improve Drooping Cheekbones and Sunken Volume image 3

One characteristic of midface aging is that, over time,

the hollow under the eyes becomes more pronounced and the soft tissue in the cheekbone area sags downward, causing fullness above the nasolabial folds.

These changes can give the impression that the center of the face has collapsed, making the face look heavy or tired.

If infraorbital wrinkles are added on top of this, the face can appear even more tired and depressed.

Midface lifting can be very helpful in addressing these problems.

The procedure does not stop at simply pulling the skin and muscles,

but also lifts the deeper layers of tissue to create a natural and firm facial contour.

The effect is especially noticeable when performed together with lower blepharoplasty,

because lower blepharoplasty repositions protruding under-eye fat into the deep tear trough to create a smoother eye area,

while midface lifting raises the sagging tissue below it and restores Apple Cheeks.

When the two procedures are performed at the same time, the incision site is the same, so a natural result can be achieved without concern about additional scarring.

Midface lifting is also useful even for people who are not particularly old,

if their facial bone structure and soft tissue characteristics naturally make them look older.

There are methods to restore facial volume through fillers or fat grafting,

but in some cases these can make the face appear larger.

By contrast, midface lifting raises the bulging, sagging tissue above the nasolabial folds

into the hollow area under the eyes, creating a natural and balanced face.

Midface lifting uses the same incision line as lower blepharoplasty,

and during the procedure, the skin, muscles, and internal fat layer are carefully adjusted

to lift the sagging tissue upward and secure it with an absorbable fixation device.

This fixation device is gradually absorbed over time while the lifted tissue stabilizes in place,

helping maintain long-term, natural results.

Shall we take a look at some before-and-after cases?

[Top] Before surgery

In the preoperative photo, you can see deep dark circles caused by the hollow under the eyes. The front cheek appears elongated because of the sagging tissue below, which can make the face seem older than it really is.

[Bottom] After surgery

After lower blepharoplasty, the under-eye hollow is improved and the overall skin is tightened. Because midface lifting was also performed, the bulging tissue above the nasolabial folds was lifted upward, making the midface appear shorter. Compared to the preoperative photo, the face looks much more lively and youthful.

[Top] Before surgery

This is another case. Dark circles, a hollow under the eyes, and a long-looking midface can create a tired and aged impression.

[Bottom] After surgery

As the bulging tissue above the nasolabial folds was lifted upward, the front cheek gained volume and became more naturally shaped. When the line from the under-eye area to the front cheek continues without irregularity, the midface appears shorter. The tired impression was also improved, and the face looks younger.

After surgery, the midface, which had looked long because of sagging tissue, appears shorter,

and the face regains a firmer and more three-dimensional impression.

The biggest advantage of midface lifting is that it corrects the overall balance of the face,

creating a lively and youthful impression.

When the center of the face is stabilized, the overall facial contour also improves naturally.

The midface is an important area that forms the center of the face and has a decisive effect on the overall impression of the face.

Midface lifting does not simply smooth wrinkles caused by aging,

but lifts sagging tissue and reconstructs facial volume,

creating a natural and harmonious facial contour.

As a result, the face regains a lively and youthful impression.

Above all, surgery performed by an experienced specialist brings more precise and safer results.

Patients who undergo midface lifting return to a younger and more vibrant appearance,

and it can be a very effective and meaningful solution for anyone seeking beauty regardless of age.

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