The Effect of the Lower Face on the Length of the Midface
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In medical terms, the midface refers to
the area from the eyebrows to below the nose.
However, in reality,
when people feel that
'the midface looks long,'
what often happens is that
the actual length is short,
but the distance between the eyes and lips
appears far apart.
In simple terms, rather than a problem with the midface itself,
a visual illusion makes the entire lower face look longer
because of issues in the lower face,
which is the area from below the nose to the chin.
For example, when the corners of the mouth droop downward
or the lower tissue looks saggy,
the face definitely looks longer and more drooped.
And when the volume in the lower face, especially along the line next to the nose,
and the area below the cheekbones
appears puffed out,
the midface looks significantly longer.
So if the problem is not the midface itself,
but only the lower face,
improving that area can also make the midface appear shorter.
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In many cases, even when there is actually no issue with midface volume
or the area under the eyes,
if the jawline is sagging
or especially if the deep buccal fat is protruding,
the midface can look longer.
Deep buccal fat is a mass of fat located in the deep layer
from the temple to the inside of the mouth.
When this fat bulges outward,
the area beside the corners of the mouth looks like it is holding a candy.
As this bulging area overlaps exactly with the point of sagging below the cheekbones in the midface,
it makes the face look longer.
By contrast, jowls are caused by the tissue itself sagging,
so even if it is pulled up, it is likely to sag again.
That is why jowls require a method like a facelift,
which firmly fixes the SMAS layer.
Deep buccal fat is not simply excess fat;
it has protruded because the septum has weakened.
It cannot be removed endlessly,
and if too much is removed, cheek hollowness can occur,
so it is important to remove the right amount.
Deep buccal fat is located in the deepest layer,
so procedures such as thread lifting, Ulthera, or Thermage
cannot reach it.
Therefore, a surgical method that safely removes the fatty mass
through an incision inside the mouth is effective.
The most effective way to improve sagging lower-face tissue like jowls
is, of course, a facelift.
However, since a facelift is a major operation,
many people find it 부담스럽습니다.
Depending on the degree of jawline sagging,
there are also simplified methods.
Marionette lines or mild sagging can also be improved
with Ulthera or thread lifting.
![[Eton TV] The Effect of the Lower Face on the Length of the Midface image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/dd20d10c94f5559ea457b45b5191fe8f027c2039998c22d13a8a5d71ae3b2108.jpg)
"Minimax lifting" is a method in which
a small incision is made in the temporal area (inside the hairline)
and the lower SMAS layer is pulled upward.
The biggest advantage is that the incision is not visible on the surface.
This surgery is more effective for improving the lower face
in a direction closer to a vertical pull downward from the temporal area,
rather than the midface.
In other words, by lifting the sagging lower facial tissue upward,
it creates the effect of making the midface look shorter.
Because Minimax pulls from the temporal area,
it is effective for the lower face,
and for the midface,
a method that pulls vertically from the front,
such as a lifting procedure combined with lower blepharoplasty,
is recommended.
![[Eton TV] The Effect of the Lower Face on the Length of the Midface image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/2673b2ce6ea6521cfbd74fe7d9354cd8a7b498174f5a052c8b9b44be1c951a77.jpg)
There is a big difference in how long procedures and surgeries last.
✅ Ulthera: at least 6 months between treatments
✅ Thread lifting: at least 1 year between treatments
✅ Minimax lifting: at least about 3 years between treatments
✅ Facelift: generally maintained for over 10 years
You can choose a method depending on how often you want treatment
or whether you want a clear effect from a single procedure.
In the end, everything seems to come down to balance.
Another important factor affecting the harmony between the midface and lower face is
"width."
At the boundary between the midface and lower face,
that is, the width volume below the nose, should be narrow
for the overall proportions to look harmonious.
If this area bulges outward
and the face looks triangular,
the lower part looks longer and is not as aesthetically pleasing.
It is important to keep this area neat and avoid widening it
through excessive filler or fat grafting.
Rather than fixating on the length of the midface,
the goal should be to find the overall balance of the face.
![[Eton TV] The Effect of the Lower Face on the Length of the Midface image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/f40caf79f1fbc607c06a6eca7ee06cf58012b20a8732cfe89bf8a9500c40c11c.jpg)
When the midface looks long,
it can be a sign that aging has started
or is in progress.
Looking better without surgery is the best,
of course.
Preventing aging before it happens is the best approach.
To prevent midface aging,
I would like to emphasize two of the most important preventive measures
that we can practice in daily life.
☑️ Prevent photoaging
Use sunscreen properly
to prevent the skin from losing elasticity.
☑️ Maintain a stable weight
If weight changes are too frequent or if weight drops too quickly,
the soft tissue will not remain in a normal state.
It is important to maintain a stable weight
through a healthy diet.
Through efforts to prevent this kind of accelerated aging,
it would be best for us to encounter it as late as possible.😄
Rather than worrying about the length you were born with,
finding the beautiful balance of your own face!
I hope you remember that
this is the most important thing.
Thank you.😄
[Midface Series Part 1]
[Midface Series Part 2]
[Midface Series Part 3]
[Midface Series Part 4]
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