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What is an Endoscopic Face Lift?

What is the difference between a regular facelift and an endoscopic face lift? Which type of face lift is best for sagging cheeks and jowls?

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+1

Endoscopic Facelift

First, let us clarify the term "facelift". A facelift treats the lower 2/3rds of the face - the area on the side of the face in front of the ears, along the jawline and then down into the neck. It does not include the midface lift (done on the cheeks under the eyelids) or the forehead lift. Endoscopic lifts are frequently done on the forehead, although the hairline is always raised. This technique can be used in the midface. Endoscopic surgery is rarely done in facelifts... more
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+3

Endoscopic Facelift does not equal Facelift

An endoscopic facelift is where an endoscope it introduced through the hairline and helps guide the surgeon to help reposition tissue. Generally speaking an endoscopic facelift is another term for an endoscopic browlift or an endoscopic midface lift. An endoscopic lift will have very limited effects on the neck and jowl region. A facelift is intended to lift the tissues of the face and neck in an effort to improve the jawline, neck and descended tissues of the face. An endoscopic lift can be... more
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
+3

Endoscopic Facelift

A 'regular facelift' is a term often used for facelift using an incision that starts in the temple region, goes around the ear and ends behind the ear to address sagging tissues for the middle (cheeks) and lower part (jowls and neck) of the face. While this technique is still utilitzed widely by facial plastic surgeons, this type of incision does NOT address the brow and the midface (cheeks) well. The newer endoscopic facelift on the otherhand uses 4-5 mm incisions in the scalp and temple... more
Kyle S. Choe, MD
Virginia Beach Facial Plastic Surgeon
+2

Endoscopic? Appropriate for Brows, not for the Jowls and neck

Since the components of facial aging consist of volume loss, descent of facial soft tissues, and skin laxity/ excess, it does not make sense to perform a Facelift without an incision that allows for skin removal. An endoscopic approach is a minimal incision approach which works very well in the brow and mid-facial regions. It plays no role in repositioning of the jowls, addressing platysmal bands or SMAS elevation unless a surgeon wants to spend more time in the operating room than is... more
Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
+2

Regular facelifts are better than endoscopic ones

An endoscopic facelift is done to minimize the scars from a facelift. It might be reasonable for a patient who has very little extra skin or laxity but if you have sagging skin, jowls and looseness and extra fat in the neck, you will get a much better and more dramatic result from a well performed traditional facelift.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Endoscopic Facelift VS "Regular" Facelift

Endoscopic , from the Greek to look inside, describes any surgical technique which is conducted through one or more small openings using a tube with a miniature lens and camera. There is NO one Facelift procedure. Rather, Facelift describes MANY techniques which are designed to correct aging by lifting sagging facial soft tissue structures. Each different Facelift technique is designed for certain degree of sagging of the face and neck. They differ in their extent and invasiveness, in their... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Endoscopic facelift

An endoscopic facelift is a facelift done with telescopic instruments to tighten up sagging facial muscle. If there is any excess skin in the face and neck, this will have to be done as an open procedure not an endoscopic procedure. When the cheeks and jowls begin to sag significantly the traditional comprehensive face and neck lift is the best option.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Minimally invasive Face lift with endoscope

Face lift surgery refers to cosmetic surgery of the lower 2/3 of the face, which involves the area in-front of the ear, along the jawline, and the upper neck to improve the neck line or "turkey neck". Face lift surgery is commonly combined with a neck lift or submental liposuction. Face lift surgery may be performed via several types, such as SMAS lift, MACS lift, mini lift, deep plane face lift, etc. Face lift surgery does not use an endoscope (video camera inserted via small... more
Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
+1

Endoscopic facelift

An endoscopic facelift is usually a deep temporal facelift that helps the middle and upper thirds of the face. It does not help the jowls or the neck.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Endoscopic brow lift is the most common

The endoscope works through small incisions to minimize scars. The most common use of an endoscope in face lift is in the brow area. Endoscopic brow lift allowed the use of smaller incisions with better healing and less nerve damage.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+1

Endoscopic Facelift uses small incisions for inserting endoscopes

Endoscopic facelift implies that small incisions are used to insert endoscopes to visualize the surgical field then small instruments are inserted to perform the surgery. Although lower endoscopic facelifting has been described, typically endoscopic facelifts imply a mid-facelift procedure or a browlift procedure. So, lifting the brow position or elevating the midface can be performed with endoscopes but lifting the lower face with endscopes is very difficult and not mainstream. Best... more
Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon
+1

Endoscopic assisted mid-cheek lifts

Approximately 6 years ago, when the thread and featherlifts were in vogue, it was important to use an endoscope (lighted camera) to visualize vital anatomical structures as the planes of dissection were limited. I remember discussing this technique with my late father, who was also a Plastic Surgeon. He quipped that the technique was not new and was a ressurection of a technique introduced and quickly dropped in the 70's by a Russian Plastic Surgeon, Sulmanidze (spelling?). The... more
Lavinia Chong, MD
Orange County Plastic Surgeon
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