Endoscopic Face Lift Surgery consists of the sum of two operations.

Endoscopic forehead lift + Endoscopic midface lift = Endoscopic face lift.

This surgery is designed for patients who are too young for facial rejuvenation surgeries and who have slight facial laxity and deformity.

In endoscopic facelift surgery, an incision of 2-3 cm is made in the temporal scalp, and another incision is made on the outer edge or on the inner surface of the eyelid. Through these incisions, the forehead, temple and midface areas are mobilized with the help of a special surgical camera and special surgical instruments used to lift the tissue. These mobilized tissues are fixed to the hard and strong outer membrane of the chewing muscle in the temporal area.

In the endoscopic approach, no incision is made on the facial skin, the lower eyelid is not opened, a supportive incision is not made through the mouth, surgical dissection is not performed under the skin, and the skin is not removed. The endoscopic approach is not employed to treat the superficial muscle and connective tissue layer called SMAS. Therefore, endoscopic facelift surgery is almost ineffective on the skin and SMAS layer. That is why endoscopic facelift surgery emerges as an effective treatment methodology in very early deformities where the skin and subcutaneous tissues have not aged yet, and there is no obvious excess skin and muscle laxity in the lower eyelid.

Although endoscopic facelift is a very cool term, there is no need for endoscopic technology to perform temporal lift or midface lift. The need for endoscopic equipment can be completely eliminated with a 2-3 cm, externally-invisible incision through the mouth. Similarly, if there is an indication for lower eyelid surgery and the lower eyelid is to be opened, the midface can be accessed perfectly through this route and the use of endoscopes becomes completely unnecessary.

In the endoscopic approach, the mobilized tissues are obliquely lifted and fixed in the temporal area. A significant number of surgeons who routinely perform midface lift surgery prefer to move the mobilized tissues directly upwards and fix them to the bone under the eye. Fixation on the bone is stronger. It is not possible to do such a fixation with the endoscopic approach. Furthermore, additional maneuvers such as bone implants and vertical transposition of the Bichat’s fat pad cannot be performed in endoscopic midface surgery. Therefore, whether the endoscopic approach is advantageous or disadvantageous is an ongoing debate among facial surgeons.

The ideal patient group for endoscopic facelift is female individuals in their 30s who are in the very early stages of facial aging, have very mild facial deformities and are psychologically stable. For detailed information about endoscopic facelift or to find out whether you are eligible for this procedure, feel free to contact us.

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