Lower Blepharoplasty with Midface Lift: The Minimally Invasive Way to Rejuvenate Your Eyes

When people think about rejuvenating their eyes, the first procedure that comes to mind is lower blepharoplasty — the surgery to remove or reposition excess skin and fat from the lower eyelids. It’s one of the most requested facial surgeries for a good reason: it refreshes tired eyes and restores a youthful look.

But there’s one crucial detail that can dramatically improve the outcome of lower eyelid surgery: lifting the midface, also known as the cheek or malar area. This small difference in technique is what separates a standard blepharoplasty from a truly natural, harmonious rejuvenation.

At our clinic, we’ve embraced a modern approach by performing this combined procedure with the assistance of a video endoscope. Known as a midface lift via endoscopic surgery, this technique represents a significant evolution in facial rejuvenation, allowing us to deliver natural results with minimal trauma and faster recovery.

Understanding the Midface Lift with Endoscopic Surgery

In traditional lower blepharoplasty, surgeons focus solely on the lower eyelid. However, aging affects not only the eyelids but also the midface region, where fat and soft tissue descend over time. By addressing only the eyelids, the results can sometimes appear incomplete or even slightly hollow.

Our approach uses an endoscopic technique to access the midface through the same tiny portals created for other procedures, such as forehead or brow-tail elevation. This means we can lift and reposition the descended cheek tissues at the same time as we correct the lower eyelid area — all through minimal incisions hidden in natural creases or within the scalp.

This approach makes the surgery minimally invasive and offers several benefits over older, more aggressive techniques. There’s less tissue trauma, less swelling, and a shorter recovery period. Most importantly, it results in no visible scars, which is a priority for most patients.

Why Avoiding Visible Scars Is So Important

One of the biggest concerns with facial surgery is scarring. Traditional techniques like the Sulphilift often require long infraciliary incisions just below the eyelashes. While effective, these incisions can sometimes leave noticeable marks.

Similarly, pre-hairline cutaneous incisions may cause the dreaded “pulled” or “over-tightened” look, particularly in the delicate skin around the eyes. These issues can undermine the very goal of the surgery, which is to look refreshed and natural, not “operated on.”

By using video-assisted endoscopic surgery, we eliminate the need for long external cuts. The procedure is performed through tiny portals, meaning scars are virtually invisible once healed. Patients retain the natural shape of their eyes without the risk of eyelid retraction or distortion of the lash line.

Comprehensive Benefits of Combining Lower Blepharoplasty with a Midface Lift

Because we’re addressing not just the lower eyelid but also the cheek and midface area, patients experience a more complete rejuvenation of the central face. Some of the key benefits include:

• More harmonious, natural results: Restoring the cheek’s youthful position complements the refreshed lower eyelid.
• Improved under-eye hollowing: By repositioning existing tissue rather than simply removing fat, the transition from lower eyelid to cheek becomes smoother.
• Less invasive approach: Fewer and smaller incisions mean less trauma to surrounding tissue.
• Shorter recovery time: Swelling and bruising typically resolve faster than with traditional open techniques.
• Greater patient satisfaction: Natural-looking results with minimal visible evidence of surgery.

Another advantage is that the same endoscopic approach can be combined with forehead or brow-tail elevation in the same session, further enhancing the overall rejuvenation of the upper and midface.

What to Expect from the Procedure

During a consultation, we evaluate the eyelid and midface anatomy, skin quality, and your goals. Using a video endoscope, we plan tiny hidden incisions, often within the scalp or along natural creases, to access and lift the tissues.

Because the technique is minimally invasive, most patients experience less discomfort, faster healing, and a quicker return to social activities compared with traditional lower blepharoplasty alone. There’s also a reduced need for secondary corrections because the midface support adds longevity to the lower eyelid result.

Modern Facial Rejuvenation Without Compromise

Facial aging is a complex process involving skin laxity, volume loss, and tissue descent. Treating just one area in isolation can leave patients with partial improvements or, worse, an unnatural appearance. By combining lower blepharoplasty with an endoscopic midface lift, we restore the eye area and cheek together, achieving a more youthful and balanced look.

This procedure is a clear example of how advances in technology — such as the video endoscope — have transformed facial surgery. Patients no longer have to choose between significant scarring or incomplete results. With the right technique, it’s possible to have both: a refreshed appearance and discreet incisions.

Conclusion

A lower blepharoplasty combined with an endoscopic midface lift represents the next generation of eye-area rejuvenation. By lifting the cheek area at the same time as correcting the lower eyelid, we create a smoother transition between the eye and face, restore youthful contours, and do so without leaving visible scars.

Using the video endoscope, we can perform the surgery safely and precisely, minimizing trauma and reducing downtime. The result is a natural, long-lasting rejuvenation of both the eyes and the midface.

If you’re considering this procedure, schedule a consultation to discuss your goals and learn how this innovative technique can help you look refreshed without compromising on safety or aesthetics.