Is A Subperiosteal Lift Performed When Placing A Midface Implant?

Q: Dr. Eppley, I had custom midface implant surgery performed by another surgeon about 2 years ago, and I am interested in undergoing revision of the implants for a more defined look. However, I do have one concern. The first surgeon performed a subperiosteal midface lift during the surgery to place the implants. I was told that if I have the implants revised by a surgeon who does not perform another subperiosteal midface lift, it could cause the soft tissues to become unsuspended and sag. Having said that, does Dr. Eppley perform a subperiosteal midface lift when he places implants? If not, does he implement any other measures to prevent sagging/collapse of the midface soft tissues? 


A: By definition every midface implant incorporates a subperiosteal midface lift. You have to resuspend the cheek soft tissues during closure since they have been disinfested and raised to place the midface implant.

Dr. Barry Eppley

Indianapolis, Indiana