It consists in carrying out an intervention without "opening" completely, but just by introducing a mini-camera that will allow to follow on a television screen the gestures made thanks to special instruments. This often makes it possible to minimize the surgical trauma and especially to considerably reduce scars.
This technique has been adapted to cosmetic surgery, where it has found its best indication in the treatment of the ageing of the upper third of the face: the forehead and temples. This is the "endoscopic frontal-temporal lifting".
The procedure aims to correct the discomforts present at this level, whether they are hereditary or due to age, by making only a few small incisions of about 1 cm hidden in the scalp.
Thanks to a few minimal incisions, the surgeon lifts off the entire region and weakens the muscles responsible for wrinkles. Then he repositions the tissues and holds them in place with deep attachments.
An endoscopic facelift can be performed individually or combined if necessary with many complementary facial procedures such as: blepharoplasty (cosmetic eyelid surgery), canthopexy (elevation of the corner of the eyes), cervico-facial lifting (face and neck lifting), laserbrasion, peeling, botulinum toxin injection, etc…
The most common disgraces targeted are the following:
• Sagging forehead with horizontal wrinkles
• Eyebrow sagging with excess skin on the upper eyelids
• Frowning wrinkles between the eyebrows
• Wrinkles from crow's feet to the corner of the eyes.
The procedure performed on both women and men can be performed from the age of 40. However, it is sometimes carried out much earlier when the discomforts are constitutional (factors such as initially low eyebrows or certain early frowning wrinkles due to hereditary muscle hyperactivity) and not related to age.
Duration of hospital stay
This procedure can be performed either with a 24-hour hospital stay or on an outpatient basis.
Average length of stay
You shouldn't overestimate the risks, but even a simple surgical procedure always involves a small amount of risk.
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The patient's motivations and requests will have been analysed. A careful study of the fronto-temporal region and its relationship with the rest of the face will have been made.
A regular preoperative check-up is carried out in accordance with the prescriptions.
An anaesthetist will be seen in consultation no later than 48 hours before the operation.
An antiseptic shampoo will be applied the evening before and in the morning.
It is essential to remain fasting (do not eat or drink anything) 6 hours before the operation.
Type of anesthesia:
Two processes are possible:
• Local anaesthesia with tranquilizers administered intravenously ("vigilant" anaesthesia).
• Classic general anaesthesia during which you are completely asleep.
The choice between these different techniques will be the result of a discussion between you, the anaesthetist and the surgeon.
The operation can be performed on an "outpatient" basis, i.e. with a same-day discharge after a few hours of supervision.
However, in some cases a short hospital stay may be preferable. It may be advisable to stay in hospital overnight after the procedure.
Each surgeon adopts a technique that is unique to him/her and that he/she adapts to each case to obtain the best results. However, common basic principles can be retained:
They are between 5 and 10 mm in size, two to five in number and are placed in the scalp a few centimetres behind the hairline of the forehead. One of them will allow the passage of the endoscope connected to a mini video camera; the others will allow the passage to the different instruments specifically adapted to this endoscopic surgery.
The entire forehead and temples are lifted off to the superciliary arches and the root of the nose.
The muscles of the region are then weakened in order to treat the wrinkles for which they are responsible: frontal muscle for horizontal wrinkles, interbrow muscles for frowning wrinkles. Other specific actions can be carried out in addition, depending on the case.
the loosened tissues will be put back into tension in order to unfold the crow's feet, raise the eyebrows and remove the sagging of the forehead. They will be held in good position by deep fixings, the nature of which varies according to the surgeons.
Small incisions are closed with easily removable skin staples or absorbable sutures.
Depending on the surgeon, the extent of the improvements to be made and the possible need for additional procedures, the procedure can take 45 to 90 minutes.
There is no real pain, but possibly some discomfort with a feeling of tension in the forehead, temples and eyelids.
The first days, you should rest as much as possible and avoid any violent effort.
The postoperative consequences are essentially marked by the appearance of oedema (swelling) and bruising, the extent and duration of which vary greatly from one individual to another.
The bandage will be removed between the 1st and 3rd day depending on the surgeon. The staples are removed between the 8th and 15th day.
The stigma of the intervention will gradually decrease, allowing a return to normal socio-professional life after a few days (5 to 20 days depending on the extent of the consequences).
A certain insensitivity of the forehead, possibly some itching of the skull, may be observed during the first few weeks. They will gradually disappear.
A period of 3 to 6 months is necessary to assess the final result. This is the time required for the entire edema to be absorbed and for the tissues to regain their full flexibility.
Most often the operation will have resulted in a significant embellishment and rejuvenation of the upper part of the face with a reduction in nasolabial folds, padding of the suborbital and malar region (with disappearance of the valley of tears) and reduction in the height of the lower eyelid.
In the event of an associated forehead lift, a suppression of forehead sagging with a better positioned eyebrow illuminating the eyes, a moderate re-tensioning of the upper eyelids, a deflating of crow's feet wrinkles, and a clear attenuation of forehead and interbrow wrinkles will also be obtained.
The results are generally long-lasting and although the ageing process is not stopped by the intervention, the benefit of the facelift will be felt even after several years.
The use of a qualified Plastic Surgeon ensures that he/she has the necessary training and competence to avoid complications or treat them effectively if necessary.
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MEDICAIM organizes your entire stay for you: post-operative nursing care, biological follow-up, therapeutic, nutritional and psychological support.
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The correction of protruding ears requires a surgical procedure, called "otoplasty", to reshape the ear auricles considered excessively visible.
Nowadays, several types of facelifts can be used to improve the ungainly effects caused by aging of the face and neck, either locally or more widely.
Temporal lifting improves the stigmas of aging in the temple region. This region is located between the frontal and cervico-facial regions which can also benefit from a facelift.