DR WILLIAM PORTUESE | 1101 MADISON ST #1280 SEATTLE, WASHINGTON 98104 | (206) 624-6200
The Seattle Facial Plastic Surgery Center - Dr William Portuese
Dr William Portuese - Board Certified Facial Plastic Surgeon in Seattle WA

Mid Facelift Bellevue

MID FACELIFT: The mid facelift is a common surgical procedure where the goal is to give a lift only to the cheek areas. This procedure is usually performed under a general anesthesia. The incisions are made in the temporal area and underneath the upper gum line, and a pulling and tightening effect is performed on the muscle and fascia layers of only the cheeks. An excellent alternative to this technique is to place cheek implants in the cheek area overlying the maxillary bone. As the face ages there is a volumetric reduction in the amount of fat and an overall volume loss of tissues in the cheek; therefore, sagging cheeks occur. Re-suspending the cheeks with a mid facelift helps. In addition, volumetric augmentation with cheek implantation works well. Cheek implants are placed through a gingival incision on the upper lip above the teeth, and they are placed on the natural cheekbone. They are undetectable both by look and feel, and they feel just like the patient’s own normal cheekbone. The mid facelift or cheek implants are usually performed on patients in their 40s and 50s who have limited aging only to the cheeks and do not require a facelift, a neck lift, or any other facial rejuvenation procedure. The cheek implants can also be performed in combination with a facelift if there is facial laxity and a flat cheek area. The surgery is performed at The Seattle Facial Plastic Surgery Center, which is a Medicare-certified surgery center, under the direction of Dr. William Portuese. Board-certified physicians/anesthesiologists come from Swedish Medical Center to perform the anesthesia. Out-of-town patients can stay at one of the area’s three hotels within one block of the office.

Necklift surgery has become a very common choice in my office.
As time goes on, many patients’ necks age faster than their faces do.
Many people are born with a lot of fat that hides the shape of their jaw and chin.
For the right person, this is a great and very rewarding procedure.

Is it possible for me to get a necklift?

A neck lift is meant to fix sagging or extra tissue under the chin so that the face looks younger and slimmer. You might need it for sagging muscles, skin, or fat depending on how your body is built, but it is meant to help. The surgery can help both men and women of any age group if they have too much fat under their chin.


It’s important that this surgery be customized for each patient because they are all different and have different needs. For some people, the scars from a neck lift are only on the skin crease below the chin. Scars will be made behind the ear if too much skin has to come off. Most people who have sagging or loose skin on their jaw line will also have a facelift done.


Some people have neck fat that is just below the skin. This fat can sometimes be suctioned to make it look sleek and “lifted” through small incisions with little recovery time. Most of the time, I like the control of direct visualization because it gives me a more precise result. It is also possible to see and adjust any tissues that are under and around the thin platysma muscle with an incision.


General anesthesia is used for face lift surgery, and it is done in the hospital. Compression clothing will be sent home with you when you leave the hospital. Most of the time, you can take off the compression after three days. You can then go back to doing light work. Pain is very low. It usually takes two weeks for a bruise to go away. In some cases, liposuction may be used. You may have facial bruises and nerve numbness or asymmetry for a short time. There is less swelling and more elasticity in the tissues for about a month to three months.

Washington Ambulatory Surgery Center Association Washington State Medical Association American Academy of Facial Plastic and Reconstructive Surgery Real Self