Most patients are familiar with a facelift, which consistently ranks among the top five Most Performed Cosmetic Surgeries in Southern California. However, not all faces are the same and not all facelifts are the same. From a practical surgical view, the human face is subdivided into different sections. Each of these sections can be addressed individually, but are often addressed in conjunction with the overall patient appearance in mind. Facial Sub Division One of these facial subdivisions is the midface. The midface is defined as the area between the lower eyelid and the upper lip and is not addressed by most of the standard facelifting techniques. For the most part, this area is primarily comprised of the cheek, commonly known as the malar pad. The midface region is very often one of the first areas of the face to display signs of aging. Some degrees of cheek following can be observed in patients as young as their early thirties. This type of fallowing, known as descent, has been shown to lead to dark circles beneath the eyes and to the deepening of the nasal lines and nasojugal, or tear trough, creases. These effects are further compounded due to midfacial volume loss as time progresses. Many surgical advances in facial plastic surgery, including endoscopic techniques, have contributed to the effectiveness of procedures such as the midface lift. An endoscope, an apparatus frequently used by Dr. Tavoussi in Newport Beach, Orange County, is a small surgical telescope miniscule in diameter that allows Dr. Tavoussi to operate in a complex environment. The use of an endoscopic technique to accomplish a midface lift utilizes a series of very small incisions. Compared to traditional techniques, which require more invasive surgical incisions, endoscopes offer a lower risk of the possibility of large scars. Utilizing these small, well-hidden incisions allows Dr. Tavoussi to perform a rejuvenation procedure of the midface without resulting in noticeable scars. In a midface lift, the malar complex is raised in a vertical fashion to contribute to a youthful appearance. Dr. Tavoussi also utilizes a technique known as Facial Fat Grafting to complement this procedure. Fat grafting allows for an efficient restoration of a patient’s facial volume, which may need to be augmented with an implant in order to balance facial appearance.