With time there is a descent of the cheek fat pad, in addition to deflation of the soft tissues, which leaves a hollow area or “trough” between the lower eyelid and cheek. This creates the appearance of “circles” and a tired look. While facial fillers or fat transfer procedures are often used to fill in this area sometimes there is more descent than deflation and the fillers are not enough. A Midface lift is a procedure done through small incisions around the eyes and the entire cheek is lifted off the cheekbone and repositioned upward. This gives a more youthful and energetic appearance. This procedure is done with sedation and usually requires one to two weeks of downtime.