MIDE Facelift & Neck Lift in San Antonio, TX
Minimally Invasive Deep Elevation with Preservation Deep Plane Neck Re-Vectoring
For patients seeking meaningful facial and neck rejuvenation without the extensive incisions of a traditional facelift, the Minimally Invasive Deep Elevation (MIDE) Facelift and Neck Lift offers an innovative solution. This technique is a limited-incision preservation deep plane neck lift that improves jawline definition, deepens youthful shadowing under the chin, corrects mandibular contour irregularities, and supports the lower face, all through microscopic access points and minimal tissue undermining.
Dr. Jose Barrera, triple board-certified facial plastic surgeon, is a national leader in minimally invasive deep elevation techniques. He performs over 50 comprehensive facelift and neck lift surgeries per year and teaches advanced lifting methods at the Masters of Aging Face Surgery Course with Marina Medical, lecturing alongside some of the world’s top facelift surgeons.
Whether you are experiencing early signs of facial laxity or more advanced neck descent, the MIDE technique provides a natural, long-lasting result with faster healing, minimal scarring, and improved comfort.
To schedule your consultation with Dr. Barrera, we invite you to call (210) 468-5426 or reach out online. Virtual consultations are available throughout Texas from our San Antonio office. We look forward to hearing from you!
What Is the MIDE Facelift and Neck Lift Technique?
The MIDE facelift is an advanced evolution of preservation deep plane lifting. Instead of wide skin undermining or large incisions, MIDE works through six microscopic 2–4 mm incisions. These small openings allow Dr. Barrera to release retaining ligaments, elevate deeper structures, and re-vector facial and neck tissues with precision.
Where traditional facelifts rely heavily on skin tightening, the MIDE technique lifts deep facial anatomy, producing youthful contour and movement without a stretched appearance. The method is especially effective for improving jawline shadowing, mandibular border definition, and neck contour when paired with targeted fat sculpting and deep neck re-elevation.
Because MIDE avoids major undermining, healing is faster and scarring is nearly invisible. Many patients compare the recovery to a “weekend lift.”
How Does a MIDE Facelift Differ from a Traditional Facelift?
Unlike a traditional facelift, which requires larger incisions and significant skin undermining, the MIDE approach achieves facial tightening through only six microscopic access points. Facial structures are lifted from below using endoscopic instruments, allowing deeper tissues to be repositioned in a more youthful vector.
Additional advantages include shorter surgical time (typically 2–3 hours), local anesthesia instead of general anesthesia, no hairline incision, minimal bruising and swelling, faster recovery, and a lower revision rate compared to traditional facelifts.
How Does MIDE Achieve Facial and Neck Rejuvenation?
Small access incisions are created in hidden locations. Using specialized scopes, Dr. Barrera releases key retaining ligaments and elevates deeper facial planes layer-by-layer. Because no major skin undermining is performed, the surface layers remain stable while the underlying structures are repositioned.
Limited Delamination Deep Neck Lift
MIDE integrates a limited delamination neck lift to release platysma bands, re-vector neck tissues, and refine the cervicomental angle with minimal surgical trauma. This improves neck contour and supports jawline definition.
Facial Fat Grafting with Liposuction
Fat grafting enhances and completes the MIDE lift by restoring youthful volume and balancing facial proportions. Using gentle liposuction, Dr. Barrera harvests fat and processes it into microfat and nanofat for precise placement.
Key areas of enhancement include the prejowl sulcus, mentalis region, midface, under-eye hollows, jawline, and lips. Fat grafting to the prejowl sulcus and mentalis improves chin projection and eliminates “smile block,” enhancing the dynamic movement of the lower face. Nanofat is also used to rejuvenate the lips and improve fine wrinkles.
Fat grafting can correct prior surgical irregularities, restore facial tension lines, improve contour depressions, and rebuild areas affected by aging or trauma. This volumetric approach supports both the static and dynamic aesthetics of the face.
Who Is a Candidate for a MIDE Facelift?
Ideal candidates include individuals wanting facial rejuvenation with minimal scarring, those with early or moderate sagging of the midface or neck, patients worried about hairline or long incisions, and those desiring faster recovery. MIDE is also an excellent option for revision neck lift patients or individuals preferring local anesthesia.
During your consultation, Dr. Barrera evaluates bone structure, tissue laxity, fat distribution, and overall facial balance to determine whether MIDE or a traditional deep plane lift will offer your best outcome.
Service and gratitute are a part of my nature. Improving my patient's wellness in terms of breathing, sleep, and self-esteem gives me great satisfaction.
Out-of-Town MIDE Facelift Package
For our traveling patients, Dr. Barrera has created one of the most comprehensive, concierge-level facelift experiences available anywhere in Texas or the country.
From the moment you arrive in San Antonio, every detail is handled for you. Your package includes:
- Surgery with Dr. Jose Barrera, a triple board-certified facial plastic surgeon with world-class expertise and national educator
- Anesthesia performed by our experienced anesthesia team
- Accredited surgical center fees
- Facial fat grafting with liposuction for full, natural volumization
- Limited delamination deep neck lift for sculpted, refined contour
- Comprehensive restorative care to enhance comfort and healing
- Medical-grade skincare kit tailored to your recovery
- Two lymphatic massages for better swelling control
- Arnica and Bromelain supplements
- Nd:YAG or IPL treatments when needed to reduce redness or bruising
- Black car pick-up and drop-off with 5Diamond, providing seamless transportation to and from appointments
This is a luxury, all-inclusive facelift experience, curated for patients who expect the highest level of surgical expertise, postoperative support, and personalized care. Every component is included to ensure a smooth, elegant, stress-free journey.
The full out-of-town MIDE Facelift Package is offered at $25,000, delivering exceptional value for a truly top-tier surgical experience.
Restorative Care Package (Included)
All MIDE facelift patients receive a complete restorative system designed to accelerate healing and enhance results. This includes medical-grade skincare products, Arnica and Bromelain supplementation, two lymphatic massages, postoperative follow-up, and Nd:YAG or IPL treatments when necessary.
Why Choose Dr. Barrera for a MIDE Facelift?
Dr. Barrera is recognized nationally for advanced facial rejuvenation techniques and trains other surgeons through the Masters of Aging Face Surgery Course. He specializes in both traditional deep plane approaches and minimally invasive options like MIDE, offering patients a full spectrum of facial rejuvenation solutions. His results emphasize natural movement, balanced contour, and long-lasting aesthetic improvement.
We transform lives when we remove a self-conscience obstacle for a patient. We transform lives when we help patients be the best version of themselves.
Schedule Your MIDE Facelift Consultation
The MIDE facelift provides structural rejuvenation, restored facial contour, and improved neck definition through a minimally invasive approach. Whether you live locally or plan to travel, Dr. Barrera’s expertise and comprehensive postoperative care ensure a world-class experience.
Call (210) 468-5426 or complete our online form to schedule your consultation. Virtual consultations are available for patients anywhere in Texas.
San Antonio MIDE Facelift & Neck Lift FAQs
A preservation facelift repositions deeper tissues rather than removing them, maintaining natural contour while rejuvenating the face.
Yes. Repositioning deeper structures creates lift in the midface and cheek region.
Incisions are placed in natural creases and are typically 2–4 mm, healing almost invisibly.
A neck lift can be combined with the MIDE technique when needed, especially for platysma bands or neck laxity.
Most patients resume normal activities within 10–14 days, with swelling and bruising improving rapidly.
Yes. One of the advantages of the MIDE technique is that it works effectively across all skin and tissue types, including patients with fuller facial volume or thicker skin. The deep elevation and re-vectoring approach ensures that results still look refined and natural.
The incisions are only 2 to 4 millimeters and are placed in hidden, natural creases. Once healed, they become extremely difficult to see, often appearing almost invisible even under close view.
Absolutely. Many patients combine MIDE with fat grafting, brow lift, lip lift, or CO₂ laser resurfacing to address multiple signs of aging at once. During your consultation, Dr. Barrera can recommend the most effective combination based on your goals.
Yes. Since this technique incorporates limited delamination and deep neck lifting, it can significantly improve platysma bands and enhance neck contour without large incisions.
Light walking is encouraged soon after surgery, but most patients should avoid strenuous exercise for 3 to 4 weeks. Dr. Barrera provides personalized timeline guidance during follow-up visits.
No. The goal of MIDE is to restore your natural structure, not to change your facial identity. Dr. Barrera focuses on subtle elevation, gentle contouring, and balanced enhancement.
Thread lifts offer temporary improvement by pulling the skin, while MIDE repositions deep tissues and provides structural lifting with results measured in years, not months. MIDE is a far more advanced, durable, and predictable option.
Yes. By lifting deeper tissues along the jawline and restoring prejowl volume with fat grafting, the MIDE technique can significantly smooth the jowl area and improve lower face definition.
