XACT Midface Lift
Key Takeaways
The XACT Midface Lift focuses on the cheeks and under-eye area, using small, hidden incisions and structural lifting to address early to moderate midface aging.
Ideal candidates typically notice sagging in the cheeks, deepening nasolabial folds, or a tired look under the eyes, but still have reasonable skin elasticity.
Recovery usually involves 1–2 weeks of visible swelling and bruising, with results continuing to refine over several months as tissues settle.
The procedure can stand alone or be combined with options such as eyelid surgery, brow lift, or skin treatments to create more balanced facial rejuvenation.
Mirror Plastic Surgery offers individualized planning with board-certified plastic surgeon Dr. Akash; you can schedule a consultation through Mirror Plastic Surgery to discuss your goals.
Why Mirror Plastic Surgery Is Well-Suited For Your XACT Midface Lift
Dr. Akash is a board-certified plastic surgeon with fellowship training in aesthetic surgery at the Manhattan Eye, Ear & Throat Hospital, a Harvard-MIT education, and a comprehensive plastic surgery residency at Johns Hopkins University. This background supports precise, anatomy-focused care for midface rejuvenation.
Mirror Plastic Surgery follows a concierge-style model instead of a high-volume schedule. Consultations often last up to an hour so your facial anatomy, aging pattern, and goals receive careful evaluation. The practice typically performs only one to two surgeries per day so the team can focus on you throughout the process.
The practice follows a clear treatment philosophy: safety first, function second, aesthetics third. This approach keeps facial movement and expression as priorities while enhancing features. A well-functioning face tends to look more natural and attractive, so techniques center on restoring underlying structure instead of simply tightening skin.
Dr. Akash incorporates evidence-based techniques and innovation informed in part by his Stanford Biodesign Fellowship experience. Surgical planning emphasizes durable repositioning of deep tissues, careful nerve preservation, and discreet incisions. Book an appointment with Dr. Akash to learn how this approach may fit your needs.
How The XACT Midface Lift Improves Midface Aging
The XACT Midface Lift focuses on the malar fat pad and deeper facial layers that descend with age. The goal is to restore projection and support in the cheek area, soften nasolabial folds, and refresh the under-eye region.
The procedure lifts and repositions deeper structures rather than pulling on the skin. This structural focus helps create natural contours and can support longer-lasting results compared with surface-only tightening.
Ideal candidates often share several features:
Age typically 40–60+, with noticeable midface descent
Sagging or flattening in the cheeks
Deepening nasolabial folds or a heavier look around the mouth
A tired appearance under the eyes
Reasonably good skin quality and realistic expectations
How The XACT Midface Lift Is Performed
The XACT Midface Lift uses small, carefully hidden incisions, often placed within the hairline or temple region. These access points allow precise work under the surface while keeping scars discreet.
During your procedure, Dr. Akash typically:
Creates small incisions in planned, concealed locations
Lifts and repositions deeper midface tissues to restore volume and support
Protects facial nerves and important structures during dissection
Closes incisions with meticulous technique to support smooth healing
This stepwise approach aims to refresh the central face while preserving natural expression.
What To Expect Before And After Surgery
Preparation for an XACT Midface Lift starts with an in-depth consultation. Dr. Akash reviews your health history, examines your facial anatomy, and explains how aging has affected the midface. You discuss goals together and map out a tailored plan.
Pre-operative planning often includes:
Medical clearance when needed to confirm you are a good surgical candidate
Adjustments to medications or supplements that affect bleeding
Guidance on smoking cessation and lifestyle changes that support healing
Clear written instructions for the days before surgery
Recovery usually involves swelling and bruising that peak within the first 48–72 hours, then gradually improve over 1–2 weeks. Many people describe discomfort as manageable with prescribed medication.
Key recovery milestones often include:
Initial healing within the first week
Suture removal around day seven, when appropriate
Return to light activities within a few days, depending on your job and comfort level
Return to most normal activities within about two weeks, with guidance from the practice
The office provides detailed post-operative instructions and checks in during your healing period. Swelling continues to refine over several months as tissues settle into their new position.
Expected Results And Longevity
The XACT Midface Lift aims to restore cheek fullness, soften nasolabial folds, and improve overall balance of the midface. Because the procedure focuses on underlying anatomy, results typically look like a refreshed version of you rather than a drastic change.
Improvements often last many years, although the aging process continues. The surgery creates a new baseline that may age more gracefully because the deeper support structures have been repositioned. Book an appointment with Dr. Akash to discuss what kind of change and longevity you can reasonably expect.
Candidacy, Limits, And Cost Of The XACT Midface Lift
The XACT Midface Lift is not the same as a full facelift. A full facelift addresses the lower face and neck more extensively, while the XACT approach focuses on the central face through targeted incisions and dissection.
Non-surgical treatments such as fillers can add temporary volume or smooth fine lines but cannot lift descended midface tissues in the same way. The XACT Midface Lift provides structural correction that injectable treatments alone cannot match.
A consultation with a board-certified plastic surgeon who regularly performs facial procedures helps clarify whether this operation aligns with your anatomy and goals. Dr. Akash uses his fellowship training in aesthetic surgery to recommend either surgical or non-surgical paths based on your needs.
The cost of an XACT Midface Lift reflects the individualized nature of the procedure. Pricing varies with anatomy, complexity, and whether other procedures are combined in the same surgery.
Typical fees include:
Surgeon’s fee for the XACT Midface Lift
Accredited operating facility costs
Board-certified anesthesia services
Post-operative visits and follow-up care
You receive a personalized quote after your in-person evaluation so the plan and investment match your situation. Book an appointment with Dr. Akash to review options and detailed pricing.
Frequently Asked Questions About The XACT Midface Lift
What makes the XACT Midface Lift different from a traditional facelift?
The XACT Midface Lift concentrates on the cheeks and nasolabial folds using smaller, hidden incisions. A traditional facelift usually addresses the lower face and neck with wider dissection. The XACT technique offers focused midface rejuvenation without the broader scope of a full facelift.
How long do results usually last?
Many patients enjoy improved midface contour for several years and often longer. Aging continues, but the repositioned tissues tend to maintain a more youthful structure compared with pre-surgery.
Will there be visible scars?
Incisions are planned in discreet locations, such as within the hairline or temple area. With proper care and time, these scars usually fade and often become hard to notice in day-to-day interactions.
What is typical recovery time?
Most people feel presentable for social and work settings within 1–2 weeks, depending on swelling, bruising, and personal comfort. Full settling of tissues takes several months, although improvement is visible much sooner.
Can the XACT Midface Lift be combined with other procedures?
The XACT Midface Lift can pair well with eyelid surgery, brow lift, or skin-focused treatments such as laser resurfacing. The best combination depends on your anatomy, goals, and health, which you can review in detail during your consultation.
Schedule Your XACT Midface Lift Consultation
You can explore whether the XACT Midface Lift is appropriate for your goals by meeting with Dr. Akash at Mirror Plastic Surgery. During this visit, you review your concerns, examine your facial features together, and discuss a tailored plan.
Call Us: 727-361-6515
Email Us: hello@mirrorplasticsurgery.com
Visit Us: 780 4th Ave S, St. Petersburg, FL 33701
Dr. Akash’s aesthetic fellowship training, Harvard-MIT education, and Johns Hopkins surgical background support careful, detail-oriented care for your procedure. The concierge-style practice model means you receive focused attention from consultation through recovery.
You can take the next step toward natural-looking midface rejuvenation by scheduling a consultation to review your options, learn about recovery, and see whether the XACT Midface Lift fits your needs. Request your consultation with Mirror Plastic Surgery to get started.
Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.