How is endoscopic midface lift different from subperiosteal midface lift? How long does each one last?

Your title asks about subperiosteal versus endoscopic, and in your comment, you ask about endoscopic vs SMAS, which is an entirely different set of choices. I will address all three. The subperiosteal and endoscopic mid-facelift are both endoscopic. Both are incisions in the scalp. The subperiosteal approach usually separates the fascial attachment at the lateral orbital rim, then the plane glides on top of the muscle in the midface. I would imagine the endoscopic approach is similar without dividing fascial attachments to bone. The problem with both involves anchoring the lift in the lateral scalp, which can be unreliable because you can only anchor to the temporalis fascia and muscle. Scalp excision is limited because the incision in both is small. Both will give limited long term results.

The SMAS lift done by most surgeons will not lift the midface, even the high SMAS vertical lift will not pull the midface. Your best option would be a deep plane lift in which the surgeon elevates over the orbicularis muscle and adequately connects it to the dissection over the zygomaticus muscle, which should be entirely freed up. This part is not done in SMAS lifts and is sometimes not done completely in deep plane lifts.

It's best to go for personal consultations. Best of luck in your search

The purpose of a SMAS based lift (I perform a deep plane facelift) is to address soft tissue descent in the cheek, jawline, and neck. A subperiosteal mid-facelift is designed to address your cheeks only. With the introduction of facial volumizers and fat injections, the subperiosteal midface lift has waned in popularity. In fact, I rarely use the procedure and I think that you will find this with most Surgeons that you talk to. Only a consultation will help make your decision.

Thank you for your question. The difference between the two procedures, at least in part, has to do with the level of the face that’s treated. One does not last necessarily last longer than another and one is not necessarily better. The longevity of any procedure is based to some degree on how each individual ages. There are multiple procedures that can address the mid-face, some less invasive than others. Your question suggests that it might be best to get yet another opinion from a board certified plastic surgeon experienced in facial rejuvenation. Remember, the most invasive procedure is not necessarily always the most effective.