Why aren’t endoscopic midface lifts done more?

I was neve a fan of the endoscopic midface lift although I love the endoscopic forhed procedures. I prefer an open midface lift eben though it requires lower eyelid surgery as well. I like this better because I am better able to elevate and full reposition the tissues. Even more important however is how the tissues are kept in their new position. More direct suturing is able to be done using the open method.

The answer is that endoscopic midface lifts are still performed when the indications are suitable.  However, the goals and endpoints are more limited than a facelift.  Patients seeking facial rejuvenation with cervical obliquity and jowls will find that a facelift is a better choice of procedure.

Endo mid face lifts went away mostly since we have such nice fillers available and approved but the FDA that the results are not worth going through surgery.  There are still patients who are not filler candidates or who are looking for more results, so the surgery is still used when necessary.