Objective To explore the effect of midfacial lifting technology through the lower eyelid margin incision approach on aesthetic improvement and wrinkle grading in patients with facial aging. Methods A total of 50 patients with facial aging who underwent midfacial lifting in the Department of Medical Aesthetics, East Campus of Hebei Yiling Hospital from October 2024 to October 2025 were selected, and they were divided into the control group and the study group by the random number table method, with 25 patients in each group. The control group was treated with PDS thread lifting rhytidectomy, and the study group was treated with midfacial lifting technology through the lower eyelid margin incision approach. The aesthetic improvement and wrinkle grading, Face-Q scores, clinical efffcacy and complication rate were compared between the two groups. Results After treatment, the scores of Lemperle and GAIS in the study group were lower than those in the control group (P<0.05). After treatment, the scores of Face-Q in the study group were higher than those in the control group (P<0.05). The total effective rate of treatment in the study group (96.00%) was higher than that in the control group (76.00%) (P<0.05). The incidence of complications in the study group was lower than that in the control group (P<0.05). Conclusion Midfacial lifting technology through the lower eyelid margin incision approach can effectively improve facial aging, enhance facial aesthetic effect, and has a low incidence of complications, which is worthy of clinical application.