What is an Endoscopic Face Lift?

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 performed independent of a facelift or in conjunction with a facelift.

Endoscopic surgery entails using small incisions and an endoscope to visualize the internal tissues for release and lifting. It is commonly used to lift the forehead and midface where the tissues can be released and lifted through small incisions behind the hairline and with minimal to no skin removal. This can be very effective for the forehead and midface but fails when addressing laxity of the jawline or neck where the loose, sagging tissues must be removed for adequate correction. A lower face and neck lift typically entails hidden incisions around the ears to allow direct release of the loose skin of the lower face and neck region. A deep, direct tightening of these loose tissues will nicely reshape the lower face and neck to the more youthful profile and then the excessive skin can be removed to complete the rejuvenation. We often combine an endoscopic brow lift with a more traditional open lower face and neck lift for best results.

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!