Midface Rejuvenation With Fillers

The idea of treating the midface as 1 zone often causes an “Aha!” moment for our patients.

What exactly is the midface? This zone or area consists of several facial areas starting at the tear trough, extending outwards to the cheek then continues downward encompassing the mid-cheek to the corner of the mouth. Treating this area as 1 zone is key for the most natural and refreshed results versus applying filler directly to the singular areas. Why?

Think of your midface like a soufflé or cake: When the middle sinks, the cake deflates down and inward, pulling on the edges causing them to flatten and buckle. The same occurs when the midface loses its volume. The bordering areas (under eyes, cheeks, and nasolabial folds) are impacted by the loss of support in the midface (the center). When this volume loss occurs, the secondary effects can be more noticeable than the underlying cause.

With adequate support, a little filler under the eyes can go a long way.

Learn more about her treatment plan and journey to rockstar results in our photo gallery.

The nasolabial folds—the crease of skin from the nose to the corner of the mouth—are a frequent concern for the still-young-but-starting-to-age population. Everyone has these lines, but when the cheek skin is not supported by midface and cheek volume, it falls downward and forward causing the nasolabial fold to become deeper and more pronounced.

Like the eyes, the nasolabial folds are commonly mistreated with a syringe of filler placed directly into the crease or groove that can actually make the fold more noticeable. The nasolabial folds are best corrected by treating the entire midface area with filler. Restoring volume to the midface lifts the skin, greatly diminishing the nasolabial fold.

The aging face usually starts with mild under eye bags and nasolabial folds caused by volume loss in the midface. As the volume continues to degenerate, the effects are more severe, causing the cheeks to sag or droop.

Restoring volume to the midface creates vertical lift to smooth sagging cheeks of the aged face. This also diminishes the nasolabial folds and under eye hollows/bags.

Initial Appointment

Treatment begins by restoring volume to the larger anatomical areas—the midface and cheeks—to address primary volume loss and/or bone resorption. This serves to create the “foundation” that we’ll build upon at your refinement appointment.

We wait 1 to 3 months between treatments to allow for swelling to subside before placement of the next layer of filler, only where it is needed.

Refinement Appointment

At this appointment, we evaluate the results of your initial treatment, then build upon that initial foundation. We can now directly place filler in the smaller areas—such as the tear trough or nasolabial folds—knowing that we have the support in place to keep it there. This is where you’ll really see your results take shape, however, you may still require a third appointment for optimal results.

For more detailed procedure information, visit Your Treatment Timeline.

How much does midface rejuvenation cost?

The midface rejuvenation package price is $3,500-$4,500 (depending on Injector). This includes your first appointment and the products used, as well as your second appointment and one additional syringe of filler. If additional syringes are needed, those are priced at a reduced-rate.

0% financing for 6 to 12 months is available for qualified borrowers through CareCredit  and  Alphaeon  medical financing.

How long do dermal filler results last?

Depending on which fillers are used and which areas are treated, your results can last from 6 to 18 months or longer. Dermal fillers are temporary products that require touch-ups to maintain results.   We recommend maintenance appointments at 9- to 12-month intervals to keep your results looking fresh. For more in-depth information about the longevity of fillers, visit our page on How to Make Your Results Last.

What is recovery like after dermal filler injections?

Immediately after treatment, you may experience swelling, tenderness, redness, and bruising.  These are normal side effects and are most apparent 24 to 48 hours after treatment. They can last up to 2 weeks, but typically subside within 2 to 5 days. Because we know you have questions about after care, we created an entire page dedicated to Understanding Your Recovery Process. Most patients return-to-work same-day.

Which fillers do you use for midface rejuvenation?

Generally, for under-eye rejuvenation, we use Restylane® for the tear trough and JUVÉDERM VOLUMA® for the cheeks and midface. Both of these are hyaluronic acid fillers, which means they are reversible and there is virtually no risk of allergic reaction. Learn all about the fillers we use by visiting Dermal Fillers 101.