Face lifting under endoscopy

What you need to know

An endoscopic facelift is designed to correct alterations in the upper and middle third of the face and replace the "tired" or "severe" appearance with a fresher, more relaxed appearance, with a more open look.
Endoscopy is a surgical technique that has been used for several years in many specialties. It consists in performing 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 minimizes surgical trauma and, above all, considerably reduces scars. This technique has been adapted to cosmetic surgery where it has found its best indication in the treatment of the upper part of the face from the forehead and temples to the level of the bucal corners. This is called "endoscopic lifting".
The most commonly targeted disgraces are the following:
• Decrease of the lower eyelid height
• Suspension of the cheekbones
• Filling of the suborbital depression under the real "valley of tears" and filling of the cheekbone
• Crow's feet wrinkles from to the corner of the eyes
• Attenuation of the naso genial furrow and suspension of the cheeks.


Duration of hospital stay
24 hours.
This procedure can be performed either with a 24-hour hospital stay or on an outpatient basis.
Average length of stay
1 week.
You shouldn't overestimate the risks, but even a simple surgical procedure always involves a small amount of risk.

Face lifting under endoscopy
Face lifting under endoscopy

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Before the treatment

The patient's motivations and requests will have been analysed. A careful study of the upper facial region and its relationship to the rest of the face will have been made.
A regular preoperative check-up is carried out in accordance with the prescriptions.
The anaesthetist will be seen in consultation at the latest 48 hours before the operation.
No medication containing aspirin should be taken within 10 days of the procedure.
An antiseptic shampoo will be applied the evening before and/or in the morning of the operation.
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.
Hospitalization conditions:
The hospitalization is short. Entry is in the morning (or sometimes the day before in the afternoon) and discharge is authorised either in the evening or the day after the operation.

What does it involve?

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:
Skin incisions:
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.
These incisions allow the passage of the endoscope connected to a mini video camera and deliver passage to the various instruments specifically adapted to this endoscopic surgery.
All the temples and facial mass are detached to the buccal corners including the cheekbones and the upper part of the cheeks.
The detached tissues will be put back in tension in order to unfold the crow's feet, to raise the tail of the eyebrows and especially the cheekbones and the suborbital fat that had accumulated above the naso genial fold. They will be held in good position by deep fixings, the nature of which varies according to the surgeons.
Small incisions are often closed with easily removable skin staples or resorbable buried stitches. Depending on the surgeon, the extent of the improvements to be made and the possible need for additional procedures, the operation can last from 2 to 3 hours.

Face lifting under endoscopy
Face lifting under endoscopy

After the treatment

There is no real pain, but possibly some discomfort with a feeling of tension in the temples and malar regions.
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 (10 to 20 days depending on the extent of the consequences).
A certain insensitivity of the operated area, possibly some itching of the skull, can be observed during the first few weeks. They will gradually disappear.

About face lifting under endoscopy

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 achieved a significant embellishment and rejuvenation effect on 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, the forehead sagging will also be removed with a better positioned eyebrow to illuminate the eyes, moderate re-tensioning of the upper eyelids, a reduction in crow's feet wrinkles and a clear reduction in forehead and interbrow wrinkles.
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.
MEDICAIM is looking for the best specialists for you and we will offer you several renowned doctors.
MEDICAIM organizes your entire stay for you: post-operative nursing care, biological follow-up, therapeutic, nutritional and psychological support.
Any additional questions? Ask your MEDICAIM doctor about it: careteam@medicaim.com

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