Restore youthful facial balance with a midface lift by Dr. David Isaacs, our expert dual-fellowship trained oculofacial plastic surgeon in Beverly Hills. This procedure treats sagging cheeks, lower eyelid retraction, volume loss, and midface hollowness. Using deep-plane techniques, Dr. Isaacs repositions your underlying structures for results that look natural and refreshed.
Restore Youthful Volume and Cheek Support
A midface lift is often considered when signs of aging affect the area between the lower eyelids and upper lip. Volume loss, sagging cheeks, deep nasolabial folds, and lower eyelid retraction can create a tired or hollow appearance, even in patients with good skin tone. Patients who have undergone prior blepharoplasty and now experience scleral show or eyelid malposition may also require a midface lift to restore both form and function.
Dr. Isaacs specializes in advanced, deep-plane midface lifting techniques that go beyond surface tightening. His signature Vertical Vector Deep Plane Midface Lift™ repositions the underlying facial structures in a vertical direction, providing natural-looking support to the lower eyelids and cheeks. By combining this approach with volume restoration techniques, such as fat grafting or implants, Dr. Isaacs creates a more youthful and balanced appearance.
Midface Lift Treats:
- Sagging or descended cheeks that create a tired look
- Deep nasolabial folds and midface wrinkles
- Hollowing beneath the eyes or tear troughs
- Lower eyelid retraction and visible scleral show
- Volume loss in the midface and cheek region
- Facial imbalance due to negative vector anatomy
The Vertical Vector Deep Plane Midface Lift™
Dr. Isaacs has developed the Vertical Vector Deep Plane Midface Lift, an advanced midface lift technique that elevates and supports the lower eyelid and midface in a more natural manner. Unlike traditional facelift techniques that primarily pull skin, this deep-plane lift focuses on repositioning the underlying facial structures in a natural, vertically oriented manner. During your procedure, Dr. Isaacs lifts and secures the midface tissues at a deeper level to enhance cheek projection while supporting the lower eyelids.
This is especially beneficial if you have midface descent, hollow cheeks, or a negative vector profile. It also provides critical structural support for patients with lower eyelid retraction after previous blepharoplasty. By addressing the root cause of aging or surgical complications, Dr. Isaacs delivers natural, balanced, and long-lasting results tailored to your unique anatomy.
Advantages of the Vertical Vector Deep Plane Midface Lift:
- Lifts the midface in a natural, vertical direction
- Repositions deep facial structures, not just the skin
- Restores youthful cheek projection and facial harmony
- Corrects hollowing and improves tear trough contour
- Ideal for patients with negative vector anatomy
- Addresses complications such as lower eyelid retraction
- Delivers longer-lasting results than traditional techniques
- Creates a balanced, refreshed appearance without looking “pulled”
Complementary Procedures
to Enhance the Midface
A midface lift can significantly rejuvenate your appearance, but many patients benefit even more when it’s combined with complementary procedures. These techniques address volume loss, structural deficiencies, and complications such as lower eyelid retraction. Dr. Isaacs customizes each treatment to restore facial balance and harmony while improving both form and function. Below are key procedures he often performs alongside or following a midface lift.
Midface Augmentation and Volume Restoration
To restore youthful cheek contour and improve transitions between facial zones, Dr. Isaacs offers several augmentation options. Fat grafting uses your own fat to replenish midface volume and create soft, natural results. For more defined or permanent enhancement, tear trough and cheek implants add structural support and symmetry. If you’re seeking a non-surgical option, fillers can provide immediate but temporary improvement with little to no downtime.
Lower Eyelid Retraction Correction
If you’ve experienced lower eyelid retraction, often due to previous lower blepharoplasty, Dr. Isaacs can correct the appearance and discomfort. He frequently combines midface lifting with volume restoration to elevate and support the lower eyelid, reducing scleral show and exposure. Fat grafting or fillers are used to fill hollows and balance the eyelid-cheek junction, while tear trough implants provide permanent structural reinforcement where needed.
The Madame Butterfly Procedure
Developed by Dr. Isaacs’ mentor, Dr. Norman Shorr, the Madame Butterfly Procedure is a sophisticated reconstructive technique for correcting lower eyelid retraction. Through a hidden transconjunctival incision, Dr. Isaacs releases internal scar tissue to restore eyelid mobility. He then performs a midface lift to reposition the skin and support the eyelid, and, when necessary, inserts a hard palate or other spacer graft to reinforce the eyelid position. Lateral canthal reconstruction ensures the eyelid maintains a natural shape.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon and a leading expert in deep-plane and reconstructive midface techniques. Known for his surgical finesse and artistic approach to facial balance, Dr. Isaacs customizes each procedure to deliver natural, long-lasting results. He also teaches his advanced methods to surgeons worldwide. If you’re considering a midface lift, cheek augmentation, or correction of lower eyelid retraction, schedule a consultation to explore your options and restore facial harmony.
