
Upper, Mid, or Lower Facelift? Which Is Right for You?

Facial aging doesn't happen all at once or in just one area. For most people, it shows up gradually. You might first notice fine lines around your eyes, sagging in your cheeks, or loose skin around your jawline. A facelift can help, but the right type of facelift depends on where those changes are most noticeable.
Board-certified plastic surgeon Vivian Hsu, MD, at Best Impression Cosmetic Surgery in Blue Bell, Pennsylvania, can answer your questions and help you decide which procedure is best for you.
What an upper facelift targets
An upper facelift focuses on the area above your cheeks. This includes the forehead, eyebrows, and the corners of your eyes. If your main concerns are drooping brows, deep forehead wrinkles, or sagging skin around your temples, this type of facelift could be a good fit.
Sometimes, an upper facelift is combined with eyelid lift surgery (also called blepharoplasty) for a more complete rejuvenation around the eyes. Many people love how this approach opens up the face and gives a more rested appearance.
What a mid facelift focuses on
If you're starting to see changes in your cheeks or around your nose and mouth, a mid facelift may be the better option. This procedure targets the middle third of your face, from the lower eyelids to the upper mouth area.
Unlike a full facelift, a mid facelift lifts the soft tissue in the cheek area without affecting the jawline. It’s an excellent choice for people in their 40s or early 50s who want to restore volume and lift in the center of the face without undergoing a more extensive procedure.
What a lower facelift improves
A lower facelift treats the area from the corners of your mouth down to the neck. If you’re bothered by jowls, sagging skin along your jawline, or banding in the neck, this may be your best option.
Many people opt for a lower facelift when they feel their face no longer reflects their youthful energy. The procedure creates a sharper, more defined jawline and can make a dramatic difference in overall appearance.
How to choose the right one for you
Choosing the correct type of facelift starts with knowing what bothers you most. Stand in front of a mirror and gently lift different areas of your face with your fingers. Where do you see the most significant difference? That’s usually the area that will benefit most from a targeted approach.
Also, consider your age, skin elasticity, and the time you can dedicate to recovery. Each type of facelift has different healing timelines and results. Some people may also benefit from combining types of facelifts or adding other procedures, like a neck lift or eyelid surgery, for more comprehensive results.
The best way to make the right decision is to meet with Dr. Hsu. She’ll evaluate your face, talk with you about your goals, and help you decide which option will give you the most natural and satisfying result.
Take the first step today
Each type of facelift offers something unique. With the proper guidance, you can choose a solution that fits your face, your lifestyle, and your personal goals.
When you’re ready, take the first step. A more youthful version of yourself may be just one conversation away. Call or schedule an appointment online today.
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