The "regular" facelift will remove the excess skin and fat and tighten the underlying muscle/fascia, whereas the endoscopic approach does not do this! The tradeoff is that the incisions are hidden behind the temple hairline behind the postauricular hairline and behind the tragus (the cartilage bump in front of the ear. I believe that this will give you a better, longer lasting result. It is imperative that, in addition to surgery, you use the best skin care possible to keep your skin healthy and tight!! There are many product lines available...I recommend to my patients alternatives such as: Sente, Epionce, SK Signature Skin Care, Skinceuticals. I also give the patients to increase and improve healing such as microneedling with PRP (platelet rich plasma) and Fraxel Repair to face, neck, and decollete. Check these out. Good luck!