Endoscopic brow and mid face lifts: any good?

Question

I am looking at correcting mid face and upper eye/brow droop. There are so many face lift options out there but it's too hard to decipher what is best. I am reading lots about endoscopic lifts but though the results look good, do they even last? I question this so I would love to hear from the pros. I am looking at Dr Lee at Wave in LA but not sure, if this is a temporary measure and a more intensive lift is needed. For privacy reasons I m not posting my face on here.

William Portuese, MD · Answer

In our practice we perform coronal browlifts so that we can better control asymmetry of the eyebrows, raise or lower the hairline, soften the corrugator and frontalis muscles, and place fascia grafts underneath the vertical lines in the forehead between the eyebrows when needed. We also do not recommend a mid face lift, since the mid face does not descend vertically with the aging process, it shrinks with volume loss, therefore cheek implants are placed to give added volume to augment the mid face. For many examples of both procedures, please see the link and the video below

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed facelifts for over 30 years.  Whether lifting the eyebrows, mid face or neck, endoscopic procedures as well as any suspension techniques will not last IMHO.   If you have "jowls" this is sagging
facial tissues and an indication for some form of a facelift.  The
underlying SMAS layer, of the face, must be dissected, lifted, trimmed and
re-sutured. If the Smas (same applies to the eyebrows) is suspended with sutures or threads, these will not last and eventually pull through the soft tissues).  The excess skin is then removed and the facelift incisions
closed.

My most popular facelift is the minimally
invasive, short incision facelift that has all the benefits of more invasive
facelifts (traditional, mid-face, deep plane and subperiosteal facelifts) but
with these added benefits:

•very small incisions

•minimal tissue dissection = less bruising and
swelling = rapid recovery

•can be performed in 90 minutes or less, with or
without anesthesia

•no incisions within the hair = no hair loss

•excess fat can be removed

•excess skin removed

•cheeks, chin and jaw line can be augmented with
dermal fillers (I prefer Restylane Lyft) or facial implants

•most patients fly back home to parts all over
the world in as little as 3 days post-op

Hope this helps.

Endoscopic brow and mid face lifts: any good?

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Endoscopic brow and mid face lifts: any good?

Answers (2)

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.