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

Question

My surgeon propsed me performing an endoscopic preperiosteal “deep plane” face lift combined with a deep neck surgery. His rationale was I am relatively young male (39) and I don’t have so much excess skin and placement of incisions in male patients are a bit concern in standard “deep plane facelifts” particularly when this is not an absolute necessity. My surgeon aims to release all 3 main ligaments in my face and addressing mid face/jawls/neck. Is this procedure safe and effective?

Lucian Ion, FRCS · Answer

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.

Berat Cigdem, MD · Answer

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.

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

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

Answers (2)

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Everything you need to know about Deep Plane Facelift

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