Is a endoscopic transtemporal preperiosteal facelift safe and will it be effective? 39 y/o male (photo)

Thank you for your question and for sharing your photographs. The preperiosteal deep plane facelift is essentially a mid-facelift in a preperiosteal layer. It will address some of your concerns, but most likely will not address the labiomandibular lines to the same degree. However, it can fit with your goals, and it is worth discussing with your surgeon using before and after images to see if it provides the degree of change you wish to achieve.

The deep plane neck lift seems like a suitable proposition since the digastric muscles appear to be a significant part of the volume below the level of the jawline, and this area would not be addressed by liposuction.

I agree with your surgeon’s approach. Aging tends to occur in a downward direction, making a more vertical vector lift, such as an endoscopic facelift, an effective option. This technique allows for minimal incisions, which is particularly advantageous for male patients concerned about visible scarring. Additionally, addressing all three main facial ligaments combined with deep neck surgery ensures comprehensive rejuvenation of the midface, jawline, and neck. Given your relatively youthful age and skin condition, this method seems both safe and well-suited to your needs.