Sagging, Rugged Neck Skin After Endotine Cheek and Neck Lift

In my career, I have been witness to all sorts of foreign objects placed in the face to support an ersatz facelift.  They never work.  They are foreign bodies that get encapsulated and thus isolated from the surrounding tissue.  They don't make sense and they don't work.  A well executed facelift is safe and gives predictable good results using the patients own tissue.

Here is what I tell patients:

Small procedures get small results. To help a truly sagging neck a more involved procedure is usually required. This involves tighttening the platysma muscle in the middle of the neck and lifting it from behind. A simple pull from the side tends not to last.

Unfortunately, the marketers of Endotine and those who purchase the product will try to use it is places where it doesn't do well.  The best treatment for sagging skin and a heavy neck is a SMAS based cheek and neck lifting procedure.  The Endotine, like the thread lift before, will not last and is often visible.  The Endotine works well for forehead lifts and mid-face lifts.