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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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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...
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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...
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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...
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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...
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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.
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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...
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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.
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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...
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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.
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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...
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