As we age, a pad of fibrous and adipose tissue over the cheekbone called the malar fat pad descends to a lower position in the cheek, and this results in a flattened cheek area and a deepening of the buccolabial fold. This is the fold that commonly runs from the corner of the nose to the corner of the mouth. As the malar pad in the cheek descends it results in a deepening of this fold and increased tissue redundancy in a jowl area. Also known as a cheek lift, this limited-incision procedure can be highly effective in restoring the natural curves and fullness to the lower eyelid and cheek areas by moving the soft tissues and underlying musculature to a more youthful position. The advantage of the midface lift is that there is minimal swelling and bruising. The procedure can be done under "twilight anesthesia" in less than an hour. Most patients are able to resume their normal activity within the next 3-7 days. While there can be some swelling and bruising, this is usually very minimal. This procedure works best in patients who have good elasticity to the tissues but have displayed early signs of aging and need to have tissues repositioned. Patients who have excess skin as well as sagging of the malar pad can have the midface lift procedure performed in conjunction with a facelift or a mini facelift to provide the maximum aesthetic enhancement. A cheeklift offers the same natural and long-term results as a facelift does in appropriate patients. The incisions are hidden in the hairline and under the lip. Because the incisions are not visible, this procedure is good for both men and women who have active lifestyles and who desire a very minimal convalescence.