The midface is one of earlier areas to show aging. Patients often complain of this area starting in the 40-50s, often before lower face aging has become noticeable. In general, descent of this area gives the face a somber less cheerful look.

The endoscopic midface lift technique has a similar approach to the endoscopic brow lift and often is combined with it. Small incisions in the hairline allow access to the fat pads in the cheek. These are elevated in a deep plane which minimizes risks to facial nerves. The fat is engaged and elevated in a proper angle reversing what age and gravity have accomplished.