Many people choose to get facelifts as they get older to tighten and smooth their aging skin. As technology advances, there are many types of facelifts available beyond the traditional facelift that most people are familiar with.

Have you considered an endoscopic facelift? For those who are nervous about scarring and long recovery time, a traditional facelift might seem scary. That’s where the endoscopic facelift comes in.  Keep reading to learn all about endoscopic facelifts so you can make an informed decision about your next cosmetic procedure. 

Traditional Facelift vs Endoscopic Facelift

So what is an endoscopic facelift anyway, and why would someone choose it over a traditional facelift? 

First, let’s talk about traditional facelifts. A traditional facelift is a tried-and-true method of pulling back and tightening skin in such a way that wrinkles, sagging skin, and lines are softened. 

In a traditional facelift procedure, a surgeon makes an incision that goes along the hairline to pull some of the skin back towards the ears and redistribute the underlying layer of fat. The surgeon may re-contour the face by adjusting sub-dermal muscles before suturing the skin closed.  While this is an effective procedure, it’s also an invasive one, and it can leave visible scarring.

Endoscopic facelifts are different. For this procedure, surgeons use endoscopes (tiny cameras used in surgery) to see underneath the skin.  This allows them to get a clear idea of what the tissue and muscles look like without open surgery.  Instead of removing or pulling excess skin, an endoscopic facelift tightens muscles and manages excess fatty deposits to give the face a smoother and tighter look.  

See more results in our Before & After gallery!

Benefits Of An Endoscopic-assisted Facelift

Using a fiber-optic endoscopic makes an endoscopic facelift a less invasive procedure than a traditional facelift.  The endoscopic technique provides patients with several benefits, including:

  • It allows the facelift incisions to be smaller and better hidden
  • The magnified picture provided by the endoscope allows the surgeon better visualization of the tissues and anatomic structures. 
  • It allows a more focused operation with less disruption of structures adjacent to the path of dissection.
  • It allows bleeding, bruising, and swelling to be minimized.
  • It allows a more rapid postoperative recovery

An endoscopic facelift allows a surgeon to address the underlying facial structures that contribute to sagging or drooping facial features while minimizing the bruising and swelling that occur after the procedure.  

Ideal Candidates for an Endoscopic Facelift

An endoscopic facelift can be highly effective for men and women who are concerned about moderate signs of facial aging.  Ideal candidates are:

  • A middle-aged patient with signs of aging in the middle and lower third of the face.
  • A patient desiring to minimize the length of the incisions used in a facelift.
  • A patient eager for a quick postoperative recovery, and a swift return to work, social, and athletic activity.

Candidates for endoscopic facelifts usually range in age from their early 30s to their late 50s. Surgical candidates should also be in good overall health.

Areas that an Endoscopic Facelift Addresses

The procedure targets the upper and the middle third of the face and can improve issues including:

  • The loss of volume, and sagging soft tissues in the cheeks
  • Deepened nasolabial folds
  • Jowls
  • The loss of definition of the jawline
  • The sagging skin and soft tissues of the submental region (turkey neck deformity)
  • The loss of the sharpness of the cervicomental angle (where the neck meets the chin)

During the consultation,  your surgeon will evaluate your facial structure and determine whether an endoscopic facelift would be more effective in accomplishing your aesthetic goals.

Endoscopic Mid Facelift Results.  See more in our Before & After gallery!

The Preoperative Evaluation

As with any cosmetic procedure, you’ll start with a consultation. During the evaluation, the patient’s face and neck will be carefully evaluated from a variety of different angles.

The surgeon will perform an assessment of the laxity and redundancy of the skin and soft tissues at many different locations of the face and neck in order to determine where they could be tightened. The location of the temporal hairline and sideburn is also evaluated to determine the ideal placement of the surgical incisions.

The facial skeleton is evaluated to determine whether its modification would enhance the overall result of the endoscopic facelift. This could be achieved by:

  • Reducing the projection of the mandibular angle
  • Reducing the projection of the malar bones
  • Increasing the length or projection of the chin with an implant
  • Performing a rhinoplasty

A surgeon will also perform an assessment as to whether the aesthetic result of the facelift could be improved by performing complementary procedures like:

The doctor will also make an assessment as to whether, in addition to lifting and tightening the patient’s skin and soft tissues, the aesthetic result of the endoscopic facelift could be improved by increasing the volume of soft tissue in the face by fat transfer. The areas the face where these fat transfers are most commonly performed are:

  • The temples
  • The forehead
  • The malar eminence
  • The nasojugal groove or tear trough
  • The nasolabial fold
  • The labiomental fold
  • The submalar portion of the cheek
  • The lips

Once you have your actual facelift scheduled, your doctor may give you special instructions on how to prepare. These may include how long you should fast before your procedure, if you should schedule someone to pick you up from the surgical center, and if you should take special precautions for skincare before the facelift.

The doctors at Wave Plastic Surgery are industry leaders in Endoscopic Surgery.  Don’t wait to schedule your consultation with a skilled and experienced Wave Plastic Surgeon.  

The Endoscopic Facelift Procedure

On the day of your procedure, will be placed under general anesthesia.  The process can take anywhere from two to five hours, depending on the extensiveness procedure, and if any other adjunctive procedures are being performed at the same time.

To begin, the surgeon will make several tiny incisions behind the ears and behind the hairline.  The exact location of the incisions will vary depending on each patient’s anatomy, tissues, and surgical goals.  Generally, the incision begins in the lower temple, behind the hairline, and continues down to the skin just in front of the earlobe.  Patients who require more attention in the neck area will also receive a counter-incision under the chin.  This placement minimizes the length requirement of the incisions and helps them to be camouflaged when they heal.

The camera of an endoscope allows for a magnified image of the surgical field to be projected onto a large LED screen in the operating theater. The surgeon will use miniaturized instruments that can then be introduced under endoscopic guidance.  This allows the surgeon to nimbly and precisely maneuver within this small space, preserving vital structures while making adjustments.

Once the adjustments have been made, the SMAS (superficial musculoaponeurotic system, i.e., the covering of the facial musculature) flaps are secured in their newly elevated position with a series of precisely placed sutures. The excess skin and soft tissue can then be removed.

The limited incisions are then closed in a series of layers to ensure optimal healing and an inconspicuous scar. The portion of the incision in the scalp is closed with stainless steel surgical staples.

Doctor using endoscope on patient

Aftercare and Recovery

After the procedure is over, the surgeon will cover your face in a post-operative garment or bandages. These will be changed on the patient’s first postoperative visit the day after surgery.  The surgical staples in the scalp will be removed one week after the surgery. The skin sutures can be removed one week later.

For the first two weeks, you need to be gentle with your face and skin. Make sure to avoid too much neck or jaw movement and take all of your prescribed medications. The patient’s face will feel tight, and look somewhat swollen in the first few days after surgery. By the time all of the staples and sutures have been removed, the patient will be able to appreciate the early results of their rejuvenation.

Patients are usually able to move around with assistance even on the first night of the surgery, and certainly by the next day. They can usually return to work within two weeks of the surgery. A modified exercise regimen can be resumed within a month of surgery, with a transition to a full workout about six weeks after surgery.

If you have any concerns, feel free to consult with your doctor.

Endoscopic Facelift and Brow Lift Results.  See more in our Before & After gallery!

Is an Endoscopic Facelift Right for You?

If you want a facelift procedure, you may want to consider an endoscopic facelift over a traditional facelift. The quicker recovery period, minimal scarring, and faster procedure all combine to make an endoscopic facelift an appealing choice.

You can get a more youthful look. Are you ready for it?

If you’re interested in an endoscopic facelift, it’s time to contact us. Our experienced plastic surgeons are ready to give you the look that you’ve always wanted. Schedule a consultation today!

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