Exclusive Facial Expert
Dr. Robb has performed facial procedures on multiple A-List celebrities.
3400 Old Milton Pkwy., Building C, Suite 570
Alpharetta, GA 30005
  • Renewed Self Confidence

    Robb Facial Plastic Surgery Center in Alpharetta, Georgia offers men and women locally, throughout the state of Georgia, and the southeast, comprehensive care in cosmetic and reconstructive surgery and laser treatments.

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  • Renewed Self Confidence

    Robb Facial Plastic Surgery Center in Alpharetta, Georgia offers men and women locally, throughout the state of Georgia, and the southeast, comprehensive care in cosmetic and reconstructive surgery and laser treatments.

    Learn More

Mid-Facial Rejuvenation Alpharetta

People are more attractive when they smile. Why? Several reasons play into this but one of the most significant things is that as we smile, our facial muscles raise our facial soft tissues to increase our mid facial volume. Try it at home in the mirror- see what happens when you smile! ‚Äč



dermal filler: 10 minutes
midface implant: 1 hour
fat transfer: 1-2 hours


dermal filler: none
midface implant: 3-5 days
fat transfer: 1 week


dermal filler: 1-2 years
midface implant: a lifetime
fat transfer: a lifetime



dermal filler: it numbs as it treats
midface implant: local +/- IV sedation
fat transfer: local +/- IV sedation


bleeding, infection, numbness, need for further procedures


In order to correctly and efficiently correct the aging effects to the midface, one must truly understand the anatomy and the changes taking place. The face of youth is abundant in facial volume- high cheeks, small nasolabial folds, no shadows.

During your private one-on-one consultation, Dr. Robb Jr. will asses your areas of concern, discuss you medical history.

There are many different ways to restore volume to the midface and each has it’s own distinct advantage over the others.

  • Injectable fillers are a safe and low risk temporary way to increase facial volume by smaller increments that are temporary. “See how you like it” – many patients choose more permanent options after seeing their new look
  • Fat injection (autologous fat) – This method uses your own fat tissue (harvested from elsewhere on your body) and reimplants the fat into the area requiring volume. This way is very safe, has benefits of stem cell nourishment, and you’re losing fat from a less desirable place.
  • Midfacial Implants – these are implants that are placed under the skin and soft tissue layers of the face. They are made out of silicone and silastic synthetic materials. The placement of these is quick, precise, and done with very little discomfort. The results are immediate and predictable. If the results don’t meet the desired effect, they are easily removed or exchanged for a different one.


Dr. Robb Jr. believes that educating our patients is one of the most important aspects of preparation for the procedure.

Adding volume to the midface often provides a subtle but significant change in facial shape. Heart shaped faces full of volume in the cheeks and tapers down to a tight jawline is analogous with beauty, young, and vibrant.

Stopping all blood thinners including NSAIDS (advil, motrin, aleve, etc) 1 -2 weeks prior to the procedure will decrease swelling, oozing, and operative time.

Midfacial implants can be placed under local anesthesia in the office or in the operative room under a deeper plane of anesthesia. The procedure is well tolerated by both methods.

The incision is placed in the mouth so that no scars are left on the face. For the first few days after the procedure, soft foods will be better and more comfortable.

It’s always a great idea to pick up your post operative medications prior to the day of the procedure.


Dr. Robb Jr. will meet with your prior to the procedure to answer any questions you may have. You will also finalize the surgical plan regarding amount of projection desired and exact location of the projection.

Markings and measurements will be made to ensure exact placement to create symmetry.

The incision is hidden inside the mouth, a small pocket is created in front of the bone for the implant to slide into. Once the projection is in the perfect location, they are secured into place and washed with an antibiotic solution to prevent infection. The intraoral incision is closed and the procedure is complete.


Swelling and some mild bruising are normal. Dr. Robb Jr. provides pain medication to minimize discomfort during the recovery period.

Rotating cold compresses and decrease the swelling and keeping the head of bed elevated also works to help decrease swelling and pain.

A soft diet is preferred for the first several days after surgery. Bruising and swelling will subside in the first several days. Antibiotics will prevent infection and pain medication with be prescribed to minimize discomfort.

Dr. Robb Jr. makes himself available at any time for his patients to answer any questions or concerns you may have.


Midfacial rejuvenation is very well rated by patients. Restoring volume and fullness to the midface and creating “high defined cheeks” provides excellent enhancement of the face.

Using ones own fat or the implant technique is permament, the implants can be adjusted or removed while fat is not as easy to remove.

Using autologous fat for midfacial rejuvenation is an excellent option with one exception. Much of the fat injected (up to 50%) will dissolve and not provide volume and projection. Because of this, some patients lobe their face shortly after surgery but request more fat to be placed to achieve significant results.

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