Can a Full Facelift Be Done Endoscopically?

I am researching various methods of a facelift (jowls, neck and marionette areas). A friend had an endo brow & mid-face lift with sciton erbium laser and her jowls and neck ended up lifting too. She Looks wonderful at 71. Interested in learning about a minimally invasive facelift if possible.

Doctor Answers 24

No such thing as Endoscopic 'full facelift'

I'm afraid the answer to your question is a No. However, it would be very helpful to see pictures so that we could recommend the best possible procedure/technique for you. Best wishes, Dr. H

Texas Plastic Surgeon
4.6 out of 5 stars 223 reviews

Less Invasive vs. More Extended Facelift Procedures

When evaluating different methods that are available to do a facelift, it is important to factor in your facial aging problem, the result you are seeking, how much recovery you can tolerate and the cost. Balancing these considerations helps you find the best facelift for you. As a general rule, the least invasive the facelift procedure is (less incisions and dissection), the more modest the result will be. This may be perfectly fine for someone with minimal signs of aging or someone older who simply doesn't want an extended facelift procedure...and can accept less of a result.  Based on your description you are seeking a more minimal approach to your facial rejuvenation procedure. If you liked the result that your friend had then a similar endoscopic/laser resurfacing procedure may be effective for you. That is one option of the more limited facelift approaches. 

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Endo vs open facelift

There is no comparison in my opinion between the result you can get from an open vs an endo facelift.  In a well done facelift, the scars should be virtually invisible and these allow the access to tighten and reposition the deep tissues and to remove the extra skin.  In an endo procedure, no skin redraping can be done so the results will be much less impressive.  Generally, the best candidates for endo procedures are the youngest when the skin excess issues are minimal.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Skin removal most essential step in any facelift

Hi Dazy:

There are many different types of facelifts. What a patient needs depends on their anatomy, age, skin type etc. What a patient gets depends on the surgeons skill, experience, and knowledge.  If you have the type of face that looks better when you use your fingers to tighten the cheeks, jawline, and neck, then it is essential that a significant amount of skin be removed to achieve a good result, no matter what type of facelift is done. This requires standard insicions, which, if well placed, should not be an issue. Endoscopic procedures help reposition the deeper tissues, but cannot remove skin all by themselves, because a normal incision is required as a "seam" to remove the excess skin.

John Alexander II, MD
San Diego Plastic Surgeon
4.8 out of 5 stars 13 reviews

Endoscopic facelift

Facelift is a catchall term and may not mean exactly the same thing in all practices. There are indeed limited incision or mini facelift techniques, however at age 71 the issue most at hand is neck and jowl laxity, and minimally invasive or endoscopic procedures just won't do. We haven't seen a midface lift improve the jowl; lucky friend.
Best of luck,

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Full facelift may require more than endoscopic for best results

Not everyone means the same thing by"full facelift" but to improve the jowls, neck, and midface probably requires more than just the endoscopic approach. One good thing about the endo procedure though is that it emphasizes 3-D reshaping more than pulling, which is one of the keys to a natural appearing result. It is still likely that some skin removal rather than laser peel alone will be helpful, especially in the neck.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

Facelift Endoscopically?

What we describe as a Facelift in contouring the neck, jowls, jawline cannot be performed via an endoscopic approach alone.  A mid face lift and a brow lift can be performed endoscopically.  However, if your friend is 71, a mid face lift alone is often a long haul for a short slide; a mid face lift will definitely have no effect on the neck.  An incisional approach was most likely used in addition to the endoscopic procedure.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

Endoscopic facelift

a purely endoscopic Facelift will have limitations as it can raise sagging tissue below the skin, but cannot remove excess skin. If one needs to have skin removed, then the incision used to remove that skin is essentially how you access the tissues to lift them up, so there is no advantage to an endoscopic technique. If your skin excess is very mild, then an endoscopic Facelift with a simultaneous laser might help for a while, but will likely not give the degree of skin removal or tightening that removing skin will achieve. 

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Can a Full Facelift Be Done Endoscopically?

A "FULL FACELIFT" can not be done endoscopicly. In fact your friend had more than a endo facelift as you describe. These issues depend upon the problems you have in your face/neck. Best to be seen by a few boarded PSSs in your area. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Endoscopic facelift

There are many different ways to do facelift surgery. I use the endoscope all the time for the forehead but not the face. I prefer other ways. Check out several opinions and go with the suregon that makes sense to you and that you feel most comfortable with. 

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 77 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.