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Endoscopic facelift

Endoscopic facelift, or endoscopic browlift / endoscopic mid face lift, is a surgical procedure that restores a more youthful appearance of the mid face without altering its physiognomy. Nowadays, patients request this surgery in their early 40s to prevent volume loss and the descent of facial soft tissues.


Preparing for endoscopic facelift

During the preoperative evaluation, the surgeon examines your quality of skin, muscle tone and bone structure explaining aesthetic goals and achievable results. At that point, the surgeon chooses the most suitable procedures to restore a more youthful appearance to the face without affecting its natural features. The pre-surgical assessment is a very important factor to exclude possible complications that could undermine the surgical outcome.


Endoscopic facelift procedure

The procedure includes the assistance of a surgical thin wand-like endoscope that inserted by small incisions (less than one inch long) through the hairline and connected to a video camera, helps the repositioning of facial tissues. The lifted tissues thus are secured to the underlying structures by sutures and / or special devices (endotine) made of absorbable materials. To prevent a premature mid face descent, the surgeon performs small incisions within the ear toward the hairline. The procedure is carried out under general anaesthesia or local anaesthesia with an overnight hospital stay. In many cases, however, if surgery is limited to the frontal area, it can be performed under local anaesthesia with sedation (the patient is awake but insensitive to pain) and in day surgery. Endoscopic facelift lasts from 1 hour to two hours and thirty, depending on the areas to treat (frontal area or mid face) and does not require any medical bandage.


Postoperative care instructions

About two days after surgery, you could experience bruise and oedema around the treated area and eyelids. Rarely occur hematoma, infections and temporary or permanent facial nerves lesion. By the third day, patients can restart their normal life avoiding strenuous activities, saunas and turkish baths. Initially, your face could be more bloated than expected, but within 10-15 days, oedema and swelling will gradually subside. If not prohibitively heavy, all normal activities, including sports, can be resumed about three weeks after surgery. The result, already remarkable after the first three weeks, is definitive within three months. The surgical outcome is usually very good and long lasting even if not completely permanent as subject to gravity, natural ageing and lifestyle (fattening, weight losses, smoking, etc...).


Scars in endoscopic facelift

In endoscopic facelift, incisions are almost inconspicuous because small and hidden in the hair (except in the case of baldness).



Who undergoes endoscopic facelift?

Sometimes, gravity or significant weight losses can cause a descent of the forehead, eyebrows and cheekbones with loss of volume below the lower eyelid region (so-called sunken face or mid face descent). Endoscopic facelift repositions the tissues in their original location, restoring lost volumes and a youthful appearance. The best candidates for this type of surgery are men and women who notice early signs of upper and mid face descent and want to regain their youthful appearance with a less invasive surgical approach than the classical facelift. In some cases, however, there is a lack of constitutional volumes of the zygomatic area that could be enhanced with zygomatic implants.

Is there any age limit to undergo this type of plastic surgery?

There is no age limit to undergo this surgery even though the age group that most often gets the best results is between 35 and 50 years old. In fact, younger patients usually do not need it, while patients in their 50s frequently display descent signs even in the lower part of their face and neck that require a more drastic approach with cervicofacial rhytidectomy.

Is it possible to combine endoscopic facelift with other cosmetic surgery?

Endoscopic facelift can be performed alone or in conjunction with other surgical procedures such as cervicofacial rhytidectomy, zygomatic augmentation, eyelid surgery, rhinoplasty and other cosmetic surgery.

Are there risks and / or complications for this type of plastic surgery?

Endoscopic facelift is a very complex procedure that involves a sound experience in this type of surgery and high-tech instrumentation. The surgical outcome is very good if surgery is performed by an experienced specialist in endoscopic face rejuvenation in accredited facilities, where potential complications (bleeding, hematoma, lesion of cranial nerves) can be easily healed. To decrease the risk of complications is, therefore, important to follow carefully the instructions provided by the surgeon before and after surgery.

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