Brent Moelleken, MD FACS
Expert Profile

User Photo For: drbrent
Brent Moelleken, MD FACS
Plastic surgeon | Views: 70061

Friendname: drbrent
Business Name: Brent Moelleken Md Inc
Website: drbrent.com
Location: 120 S Spalding D
Beverly Hills, CA 90212
United States
Telephone: 310-273-1001
Languages Spoken: English

Post a reply Ask Brent Moelleken a question Return to Brent Moelleken's homepage

Ask An Expert > Brent Moelleken Message Board > What are the best proven types of mid-face lifts?
Default User Photo
pittsburgh, PA
What are the best proven types of mid-face lifts?
I've consulted with several PS in my area and got several differnt opinions on what I need. One common is lower face lift and variations on mid-face lifts along with brow lift (which I don't think I need).
I appreciate if any PS with expertise in this area can give me an explanation.

Plastic surgeon
New York, NY
United States
View My Professional Profile
Browlift is easy to evaluate  November 19, 2008 6:24 PM

To decide if you need a browlift - stand in front of a mirror. Look at your eyebrows - are they elevated or normal height but with a lot of wrinkles above the eyebrows? if so, you likely need a browlift. If not, then close your eyes and wait one minute in a relaxed position, then place your index finger on your eyebrow while your eyes are closed, then open your eyes and don't let the eyebrow move. If your try to elevate the eyebrow, then you need a browlift, or if the eyelid looks too heavy, same thing goes.
As for a midface lift - the key thing is to lift your SMAS vertically. This restores your cheeks to their normal position and avoids the windblown look or as I call it the "Nike swoop".

Plastic surgeon
View My Professional Profile
FACIAL REJUVENATION  November 19, 2008 10:46 PM

Hello. Since the origins of facial rejuvenation techniques, thre have been many advances that currently provide natural looking, long lasting results. With the early techniques of skin removal alone, results were artificial because surgeons relied on skin removal and tightening alone. Current techniques now have the advantage of addressing deeper tissues such as the SMAS (superficial muscular aponeurotic system). This SMAS is the covering of facial muscles. When this structure is also tightened, results are more natural looking and longer lasting. I agree that most patents do not need a brow lift and suggest considering facial rejuvenation and eyelid rejuvenation. The neck-lift is included in my procedures and addresses the under-chin fat and loose muscles that can give you the "turkey gobbler". I also address the jowls during this procedure. Typical cost for all described is $5,900 Dollars total, plus about $100 Dollars for lab tests and medications. Feel free to visit my website for more information on these and other procedures or email me directly through my profile.

Plastic surgeon
Beverly Hills, CA
United States
View My Professional Profile
Midface lifts  January 13, 2009 8:32 AM

For a complete discussion, we have several book chapters and articles on our website drbrent.com, including a chapter in the textbook Mathes.
Briefly, there are many types of cheeklifts.
Lower eyelid incision cheeklifts, especially limited incision ones (i.e. LUSIC) are best at smoothing out the eye-cheek junction. Usually they involve placing material at the tear trough groove as well. The direction of pull is usually straight up.
Cheeklifts can also be performed from inside the mouth, usually with a second incision up in the hairline. Sometimes the Endotine is used to fixate the cheek upward. The direction of pull is typically up and out, not straight up. Sometimes spanning sutures are used attached to tougher tissues or even a screw up in the scalp area. Often these are combination cheek-brow techniques.
Fat preserving blepharoplasties where the fat is remodeled could be considered a form of cheeklift as well.
Lateral muscle slings and canthal reconsructions (changing the eye shape) can be used for patients who have had previous lower eyelid surgery and notice a pulling down. Fortunately, we have had good success in correcting this problem.
The midface, the area below the eyes, is very delicate. In my opinion, radical procedures should not be attempted in this region or complication rates rise dramatically.
Also the midface is an area that demands specialization, or at least a special interest on the part of the surgeon.
The lower eyelid is that important.



Welcome to the Ask An Expert section of our website! Our network of board certified physicians can answer any questions that you may have regarding plastic surgery, skin care, dermatology and other conditions. Popular topics include tummy tuck, liposuction, rhinoplasty, acne scars, facelift, breast augmentation and more. This frequently asked questions section is opened to everyone and you need to set up an account with Makemeheal before you can ask your own question. This service is absolutely free and is available to those who are interested in learning more about a particular cosmetic procedure, treatment or product.

Before asking a question, we recommend you to browse through our existing collection of questions and answers to ensure that the question you want to ask have not already been answered by our highly experienced experts. This will help you save time and get an answer more quickly. When asking a new question, we recommend you to be very detailed so that our experts could formulate a more precise & professional answer.

Of course, this service is not a substitute for a doctor visit or a consultation with a plastic surgeon or cosmetic dermatologist. The answer you will find here only serve as initial directions of thoughts and not as specific instructions. You should remember that it is utterly important to consult a skilled specialist prior to scheduling any type of treatment in order to get acquainted with possible contraindications. Only a one-on-one meeting will enable your cosmetic surgeon to properly evaluate your condition, conduct examinations and explain their results.