What is Endoscopic Facelift Aesthetics?
Endoscopic facelift is a facial rejuvenation approach performed with the help of camera systems called endoscopes, using smaller incisions compared to classic facelift incisions. When planning endoscopic facelift aesthetics in Samsun, the goal is to renew the upper face, temple, and mid-face region with smaller incisions, less scar visibility, and a more natural lifting.
In this technique, soft tissues are viewed with the help of an endoscope through small incisions opened in the scalp or temple area and moved further up and back with facelift principles. In this way, it is aimed to achieve a significant rejuvenation effect in certain areas of the face without the need for wide incisions.
Which Regions Does Endoscopic Facelift Focus On?
Endoscopic techniques mostly target the following areas:
- Upper face: Forehead, eyebrows, and the outer part of the eyebrow (temporal region),
- Mid-face: Cheekbone area, cheeks, and mid-face tissues,
- In some techniques, the eye area and the lower eyelid–cheek transition.
For this reason, endoscopic facelift is closely related to Mid-Face Lift, Temporal Lift which we will handle on a separate page later, and upper face-oriented rejuvenation approaches.
Changes Aimed with Endoscopic Facelift
In suitable patients, improvement is aimed in the following areas with endoscopic facelift:
- Recovery of mild-to-moderate sagging in the outer part of the eyebrow and temple area,
- Carrying the cheek and cheekbone area upwards in the mid-face,
- Softening the tired expression around the outer eye area,
- Achieving a more rested and vibrant appearance in the general expression of the face.
The goal is not to completely change the face, but to make the existing face structure look more rested, more compact, and more balanced.
In Which Situations is Endoscopic Facelift Considered?
Patients applying for Samsun endoscopic facelift aesthetics generally mention the following complaints:
- Mild-to-moderate drooping in the outer part of the eyebrow and temple area,
- Cheeks appearing shifted downwards,
- Tired and saggy expression in the mid-face region,
- Limited problems in the neck region despite signs of aging in the upper and mid-face.
In patients with very advanced sagging and excess skin in the neck and lower face, endoscopic methods alone may not be sufficient. In this case, techniques such as Facelift, Deep Plane Facelift, or SMAS Facelift may come to the fore.
Who Can Be a Suitable Candidate for Endoscopic Facelift?
In general, patients with the following characteristics can be evaluated for an endoscopic facelift:
- Those with mild-to-moderate sagging in the upper face, temple, or mid-face,
- Those whose skin elasticity is not completely lost,
- Those without very advanced excess skin in the neck and lower face,
- Those looking for rejuvenation with smaller incisions and less scar visibility.
During the examination, the face is evaluated from a Combined Facial Aesthetics perspective, together with Mid-Face Lift, Temporal Lift, Eyelid Aesthetics, and Facelift techniques.
How is Endoscopic Facelift Aesthetics Performed in Samsun?
Endoscopic facelift is a technique performed using special camera systems and long, thin surgical instruments, requiring detailed knowledge of anatomy. The surgery is often performed under general anesthesia.
Small Incisions and Endoscope Use
In the endoscopic technique, smaller incisions are used compared to classic facelift surgeries. These incisions are usually positioned:
- Inside the scalp, in the temple area,
- In some techniques, in the hairline areas close to the forehead or mid-face region.
The endoscope (camera) and special surgical instruments are placed through these small incisions. Thanks to the endoscope, deep tissues are monitored in detail with an enlarged image.
General Principle of Endoscopic Facelift Technique
Basic steps during the surgery can be summarized as follows:
- Placement of the endoscope and instruments through small incisions opened in the scalp or temple area,
- Controlled release of the ligaments carrying the tissues in the mid-face and/or upper face region,
- Carrying these tissues upwards and backwards, opposite to the direction of sagging,
- Fixing the new position with sutures and closing the incisions.
The goal is to create a more balanced and natural rejuvenation effect by improving the position of deep supporting structures, rather than pulling the face from the surface.
How is Endoscopic Facelift Related to Mid-Face and Temporal Lift?
The endoscopic technique can often be thought of as a tool focusing on a specific region. This tool can be used for both Mid-Face Lift and Temporal Lift, which will be handled as a separate heading in the future.
Which Technique Comes to the Fore When?
In general framework:
- Significant mid-face sagging: Endoscopic mid-face lift approaches can be evaluated.
- Temple and outer eyebrow drooping: Endoscopic temporal/upper face-oriented techniques may come to the agenda.
- If lower face and neck sagging is predominant: Techniques such as Facelift, Deep Plane Facelift, or SMAS Facelift may be more suitable.
As much as these techniques are alternatives to each other, they can also be planned together with a combined facial aesthetics approach in some patients.
Endoscopic Facelift and Non-Surgical Methods
Mild signs of aging in the upper and mid-face can be managed for a while with non-surgical aesthetics methods such as botox applications, filler applications, under-eye light filler, liquid facelift, and mesotherapy.
When Does Surgical Endoscopic Facelift Come to the Agenda?
In the following situations, non-surgical methods alone may not be sufficient and endoscopic facelift may come to the agenda:
- Mid-face sagging that can be temporarily recovered with filler and botox but where a permanent solution is desired,
- Significant drooping in the outer eyebrow and temple area,
- Complaint of a constantly recurring "tired expression" in the middle part of the face,
- Desire for a more surgically controlled recovery of mild-to-moderate sagging.
The goal in this picture is not just to fill the face with volume, but to improve the anatomical position of soft tissues.
Recovery Process After Endoscopic Facelift
Due to smaller incisions, the endoscopic technique may show a different recovery dynamic compared to classic incision facelift. Still, as in every surgical procedure, the recovery process can vary from person to person. Generally:
- In the first days, there may be swelling, tension, and light bruising in the face and temple area.
- Keeping the head slightly elevated can increase comfort in the first period.
- Special bandages or supportive materials can be used for a short time.
- Short walks and light activities can be started after the time recommended by the physician.
A large part of the swelling recedes in the first weeks. The more natural, more settled, and more rested appearance of the facial features becomes prominent within a few weeks to a few months. Follow-up appointments are important for this process to progress healthily.
Scars and Naturalness of Facial Expression
Since incisions are mostly planned inside the scalp or in the temple area, scars tend to remain in the shadow in the long term. The final appearance of the scars is closely related to skin structure, wound healing characteristics, smoking, and compliance with post-operative care recommendations.
The goal in endoscopic facelift surgeries is not to change the face beyond recognition or to freeze facial expressions. The aim is to provide the person's own face with a more rested, more compact, and more balanced appearance.