Endoscopic lift of the lower, middle and upper third of the face

, medical expert
Last reviewed: 17.10.2021

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Today, there are many different cosmetic procedures that help to restore youthfulness, fresh appearance to the skin, and prevent skin sagging. One such procedure is an endoscopic facelift. In fact, this is a surgical operation that has a low level of skin trauma and minimal side effects.

Indications for the procedure

The procedure is recommended for persons who have reached the age of 35 with pathologies of the superciliary areas, the formation of wrinkles in any part of the sagging face. There may be other conditions that are often associated with skin changes. It is possible in a relatively short time to get rid of the so-called "gloomy" facial expression, distortion of the main facial features. [1]


Before proceeding with the operation, it is necessary to undergo a comprehensive diagnostic examination: an analysis for coagulation and platelet levels, an electrocardiogram. It is also important to determine the reaction to drugs, the tolerance of anesthesia, the tendency to allergic reactions. Surveys are usually scheduled 2-3 weeks before the expected date of the operation. [2]

Also, in about 2 weeks it is necessary to adhere to a specific diet, in particular, exclude alcohol, tobacco products, strong coffee and tea. The diet should be gentle, balanced, and contain all the necessary vitamins. It is better to include more fruits and vegetables, and minimize meat products, fat. Such a diet must be adhered to until the body is fully restored. If you are taking medications, you need to tell your doctor. After about 3-4 days, all medications that provide blood thinning should be completely eliminated. Energy products and drinks should be excluded. Drink water in moderation, especially on the eve of surgery. Directly on the day of the operation, water and any food should be completely excluded. The rest of the preparation is carried out by the doctor immediately before the procedure. [3]

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Technique Endoscopic lift of the lower, middle and upper third of the face

Consider the sequence of the procedure, its technique. First, the doctor processes the skin surface, prepares for the further procedure, and disinfects. Then, after a thorough antiseptic treatment, several small incisions are made. As a rule, 3-4 cuts are sufficient, the size of which does not exceed 10 mm.

The operation is performed using special instruments (endoscope). It allows you to penetrate the subcutaneous layers through small incisions, without the need to make a full skin incision. The entire operation is performed using instruments that are inserted along with the endoscope. They allow you to perform even the most complex manipulations. In addition, the incision is made in places where the scars will be hardly noticeable, for example, under the jaw, behind the ears, but not in the center of the face, as would be done in a feast of classical plastic surgery. [4]

The image is displayed on the screen (there is a special camera that allows you to monitor the condition of the skin and subcutaneous layers, to see the entire course of the operation). Accordingly, the area of skin damage is significantly reduced, and the risk of infection is reduced. Healing and recovery is much faster.

This significantly improves the appearance, structures the face, allows the tightened structures to hold on for a long time without losing their shape. Also, the tool allows, if necessary, to move the subcutaneous fat, without cutting off the skin, without cutting off the skin. Trimming of the skin can only be done if necessary. Due to the fact that the damage is minimal, the person quickly recovers, and quickly returns to the usual way of life.

During the operation, you can quickly and efficiently simulate the contours of the face, while supporting all the pictures from the camera. Thus, the surgeon no longer works blindly, as he would have done it before, which significantly increases the accuracy of the procedure. Due to the fact that only incisions are made on the skin surface through which the instrument penetrates, stitching after surgery is not required. After removing the instrument, small holes are simply closed with a plaster or bandage. And they will soon heal. It is thanks to these properties in Europe and the USA that this procedure is called seamless facelift. [5]

It is important to take into account the features of the anatomical structure of the face, especially the physiology, the place of passage of nerves, nerve endings, facial muscles, fibers. In a classic operation, even an experienced specialist can touch a nerve, while endoscopic technology excludes this possibility. This is what ensures the maximum naturalness of the procedure, a fresh look after the operation, and quick healing. The final appearance of the skin will take about a month. You need to understand that even if the damage is minimal, they are still there, and it takes time to heal. In addition, any intervention is stress not only for the skin, but for the body as a whole.

Endoscopic midface lift

It is subdivided into several varieties. There are at least three types, depending on which zone is planned to be exposed, including endoscopic lifting of the midface. Endoscopic lifting is often combined with other procedures for maximum results. All three types of operations can be carried out simultaneously, but still, surgeons recommend doing them with an interval of at least several days. [6]

It is recommended to carry out this procedure after reaching 35 years of age, since at this time the recovery processes are minimized, it becomes extremely difficult to restore youth and beauty using non-invasive methods. This operation can be performed for both men and women. Belongs to the category of beauty treatments. During the procedure, the skin is tightened, therefore the second name of this procedure is lifting (tightening). The advantage of this technique is that the intervention is minimal and the effect is maximal. Recovery is taking place in record time.

Endoscopic lifting of the lower third of the face

As a rule, sutures are used for this type of operation. They allow you to support the skin, prevent it from sinking. The sutures are removed on the 10th day after the operation.

Thanks to the procedure, we get modeled, perfectly even contours of the face, the absence of irregularities, flaps, scars and seams on the face, and the elimination of a double chin. On the forehead, wrinkles are smoothed, and crow's feet, wrinkles around the lips, on the neck, and expression lines can also be quickly and effectively removed. Endoscopic lifting of the entire lower third of the face is carried out: correction of nasolabial folds, the shape of the lips and eyebrows is corrected, cheekbones can be formed, a more open look can be made, which will be expressive and have an open look. [7]

Endoscopic facelift

Lift of the upper third of the face is an endoscopic operation using endoscopic technique, which allows to correct the condition of the forehead, the area around the eyes, and near them, raises the corners of the eyes. Also, with this operation, you can adjust and correct the shape. In the process, fat is sucked from the frontal areas. [8]

It is often performed simultaneously with blepharoplasty and lipolifting of the frontal zone, during which fat is sucked from the frontal areas. During the operation, incisions are made at a height of about 2-3 cm above the line along which the hair grows. The tissues are tightened, their fixation is ensured using special screws or bio-glue.

The operation takes place in several stages. After the training has been completed, the doctor gives the patient anesthesia. After that, an antiseptic treatment is carried out, after which the doctor makes incisions, inserts an endoscope, and performs the necessary procedures. Then he takes out the endoscope, applies an adhesive plaster (in rare cases - stitches). Then, if necessary, further postoperative treatment is carried out. [9]

During the operation, sagging areas are usually tightened and attached using sutures and biogel. The duration of the operation is determined by the area of influence, the duration of treatment, the severity of the pathology. In this case, the pulse is controlled.

Contraindications to the procedure

An endoscopic facelift is performed under general anesthesia. Therefore, there are contraindications for conducting, anesthesia can have negative side effects. Secondly, in the postoperative period, damage still remains, albeit insignificant. Therefore, there is a possible risk of developing infection, suppuration. The procedure is not recommended for persons under the age of 35 (this procedure has its own anatomical, physiological, hormonal, and biochemical contraindications). And one more drawback that many patients point out is the high cost of the procedure. [10]

Contraindications include a negative reaction to anesthesia. Not recommended in case of intolerance to pain relief, some medications. Also, people should include cases of hemophilia, various dysfunctions of the blood, thyroid gland, hormonal, mental disorders, high blood pressure, a tendency to hypertension, VSD. It is not recommended to carry out the procedure for infectious pathologies, diseases in the acute stage, malignant tumors, diseases, inflammatory skin lesions. 

Consequences after the procedure

The advantages of this operation include the minimally invasiveness of the procedure. With minimal damage, tissues are practically not injured, respectively, recovery occurs much faster, side effects and complications also practically do not develop. No scars remain, as the incisions are small and in areas that are not striking. The cuts are so small that they are not always visible even from close range. During the procedure, not one problem is solved, but several at once, and even a complex of problems. [11]

A positive result is noticeable from the first days, but the full effect can be assessed within a month. As practice shows, clients look 7-10 years younger. The effect persists for a long time - on average 5-10 years. Noteworthy is the stunning naturalness of the face after the operation. The terms of rehabilitation are also short and short. The risk of damage to nerve fibers, receptors, lymph nodes is almost completely eliminated.

Complications after the procedure

Usually, there are no side effects after surgery, but mild discomfort may be felt for at least 10-15 days. Sometimes in the first days after the operation, there is swelling, redness, slight irritation. There may be bruises, especially where the skin is thin, delicate, sensitive. After the end of rehabilitation, all these phenomena disappear completely. If you look closely, small scars can be seen at close range, but they do not last longer than 3 months.

Complications almost never arise. But sometimes there are cases of infection, as a result of which an inflammatory, infectious, purulent-septic process develops. Most often this happens with improper postoperative care, if hygiene rules are not followed. Scars may appear on the surface of the skin (mainly due to improper preparation for the operation). Some defects may be associated with the characteristics of the patient's skin. To get rid of complications, you need to follow your doctor's recommendations. [12]

Sometimes the sensitivity of the skin decreases sharply, hyperpigmentation and asymmetry appear. This is often due to the peculiarities of the patient's skin, individual reaction to the technique of conducting, drugs, anesthesia. It usually recovers in 6-8 months. But sometimes a second operation is required. In this case, one should not exclude the doctor's mistake, damage to the nerve, or other structures during the operation. To avoid such an outcome, you should carefully choose the clinic where the operation will take place, choose a qualified and experienced surgeon, preferably one who specializes in such operations.

Care after the procedure

The patient should be under the supervision of doctors to ensure full control over the condition. After the operation, postoperative care is required, the essence of which is to strictly follow all the doctor's prescriptions. As a rule, treatment is selected individually, if required.

In addition, it is forbidden to wash your hair, use cosmetics, use a hairdryer. Alcohol and cigarettes are also completely excluded for this period. Saunas, steam baths, and even the usual high temperature baths are prohibited. The beach cannot be visited for at least 30-40 days. Peels, massages, cosmetic procedures are prohibited for at least a month, the use of cosmetics is contraindicated (except for those prescribed by a doctor). Facial expressions and any movements of the muscles of the face must be minimized.

In the postoperative period, the doctor often prescribes herbal decoctions, cold, and sometimes contrasting compresses, various procedures aimed at improving and restoring blood circulation, to ensure metabolism, and accelerated healing. [13]

It is important to visit a beautician regularly, spend as much time as possible in the fresh air, consume enough vitamin, include fresh fruits, vegetables, vitamins and minerals in the diet. It is necessary to engage in physical exercises, perform breathing exercises, relaxing practices, meditation.

Correct breathing (especially yoga, qigong, various breathing exercises) has a positive effect on the condition of the skin, since it fills the cells with oxygen and nutrients, and helps to excrete carbon dioxide and metabolic by-products. It promotes rejuvenation, launches recovery processes, stimulates the production of vitamin by the skin and subcutaneous layers. Meditations, relaxation practices relax, relieve tension. Accordingly, metabolic processes improve in cells, stagnant phenomena are eliminated, self-renewal mechanisms are triggered. Relaxed muscles do not create tension, they form even contours, smooth structure and shape of the face, even out the color.


If you analyze the reviews, you will notice that most of them are positive. Almost all patients remain satisfied (it is female patients who predominate). Most women who have had a similar operation for themselves regularly visit cosmetologists, beauty salons, clinics. They carefully monitor the skin, perform various anti-aging procedures. After the endoscopic tightening, they are satisfied, since the beautician has to visit much less often in the future. After the operation, everyone looks 8-10 years younger, and some even 15! This state persists for quite a long time - up to 10 years.

After the operation, the skin condition is natural, expressive, fresh. It is not visible that the woman was performing the operation. This gives the impression that this is a natural skin condition. Before the operation, thorough preparation is carried out, then a recovery period is needed. All this takes on average 2-3 months. The procedure takes on average 2-3 hours. After the procedure, according to the patients, the face looks terrifying - bruises, swelling, irritation. A fixation bandage was applied to the face.

In the first two days, women usually say that they were very sorry that they agreed to this procedure. But on the third day, approximately, the condition improves markedly: the bruises disappear, the seals dissolve, the swelling disappears. Also, women say that the face hurts a lot, it burns and bakes, it is impossible to sleep.

It is necessary to wipe it with various anti-inflammatory and antiseptic agents (on average a week). Many people say that they had to sleep while sitting, because lying down was very painful. It was also impossible to talk, laugh, because muscle displacement causes pain and discomfort. They are kept in the clinic for about a day, since practically no one has complications, they are discharged in a day.

Driving is not recommended - everyone who has tried it notes severe pain, discomfort. Turning your head is uncomfortable, because of the pain, concentration of attention decreases, sometimes dizziness appears. Therefore, it is better to take advantage of the secrets of experienced women, and insure yourself by calling a taxi, or providing yourself with an escort.

After a week, the stitches are removed, the traces disappear completely, the pain disappears, and then the  endoscopic facelift  truly pleases women.

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