Endoscopic facelift: forehead and eyebrows, neck, cheekbones, temporal part. How is it done, photos, rehabilitation and consequences

Any woman strives to preserve her youth and beauty. There are many procedures to achieve this goal. An alternative to traditional plastic surgery in the fight against the first signs of aging is endoscopic forehead and eyebrow lift (the consequences of the procedure can be seen in the photo). It is popular abroad and is called "seamless facelift".

What is an endoscopic facelift

Currently, one of the most minimally traumatic rejuvenating surgeries is a facelift using an endoscope. It aims to correct the signs of aging using endoscopic techniques. In comparison with classical facial plastic surgery, instead of long incisions, during endoscopic lifting, small incisions are made, about 1 cm long.

There are no visible traces of the plastic surgeon's intervention, since most often these incisions are masked behind the ears, in the mouth, in the hair. With such a tightening, excess skin is not excised, but the subcutaneous structures are tightened and tissue redistributed.

Features of the method

The potential of modern surgery is expanding significantly with the advent of endoscopic lifting. It can be combined with other anti-aging treatments.

Features of the procedure:

• low invasiveness of surgical intervention;
• small incisions in the skin;
• the rehabilitation period is short (about 2 weeks);
• complications are unlikely.

What equipment is used

Endoscopic lifting requires the use of advanced endoscopic equipment, which not only shortens the procedure, but also speeds up the recovery process.

The endoscope consists of:

1. thin tube with light source and camerathat are inserted into incisions in the skin;
2. monitor, which displays an enlarged image of the subcutaneous structures.

The surgeon, having made incisions, inserts an endoscope under the skin, and through other incisions, surgical instruments are inserted, which are used to remove excess fatty tissue, as well as to tighten stretched tissues and muscles of the face.

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Zones

Endoscopic lifting is most often performed to lift the upper third of the face, correct the location and shape of the eyebrows, change the border of hair growth, and smooth out wrinkles in the forehead and bridge of the nose. The drooping eyebrows give the face a gloomy look, this is not only due to age-related changes in the skin, but is also a consequence of the special structure of soft tissues.

This operation is able to change the facial expression, making it more open.When performing endoscopic lifting, the surgeon makes small sizes in the scalp, after which no visible scars remain. With age, the appearance of "puppet wrinkles" and "widow's folds" not only makes the face look old, but also gives a dull and depressive look.

With the help of such a lifting of the middle zone of the face (the area between the lower eyelid and the mouth), you can change the rise of the corners of the mouth, remove the nasolabial folds, and create volume in the zygomatic region. Age-related changes change the proportions of the face, the volume from the upper and middle parts of the face moves down.

In youth, painting fat is located above the zygomatic bone, which moves downward over the years, thereby deforming not only the cheeks, but also other tissues.

The task of the surgeon during the reconstruction of the middle zone is to create a high line of the cheekbones, shorten the length of the lower eyelid, align the lacrimal groove, and soften the nasolabial folds. All this is possible with the help of expensive endoscopic equipment. For such a lift, 3 incisions are needed, as with the upper lifting, as well as two additional incisions in the oral cavity (between the cheek and gum).

Lift of the lower third of the face allows you to eliminate wrinkles from the corner of the mouth to the chin, create a taut contour of the chin, and eliminate the "second" chin. With such a facelift, punctures are made near the ear to tighten the lower jaw. Behind the ears, inconspicuous rollers are made of excess skin. The seams also remain invisible. Incisions under the chin are also possible.

Pros and cons versus alternative methods

The advantages of this procedure over alternative methods of anti-aging plastics:

• preservation of long-term results (7-10 years);
• minimum side effects;
• invisible scars after surgery;
• rehabilitation is pretty quick;
• creating attractive facial proportions;
• the cost of the operation is fairly affordable.

After this procedure, negative consequences are rare, due to the minimally invasiveness of the procedure.

However, in rare cases, it can be observed:

• in places of incisions, the appearance of age spots;
• violation of the symmetry of the oval of the face;
• hair loss may occur after incisions in the temporal and behind the ear;
• as a result of injury to the branches of the facial nerve, facial expressions may be disturbed;
• the appearance of rough scars;
• smokers may experience loss of sensitivity in the area of ​​incisions in the skin;
• infection of the skin.

Indications

This procedure is able to eliminate external age-related changes on the face, change facial features and tighten the skin.

The main indications are:

• drooping eyebrows and forehead;
• wrinkles on the forehead and in the eyebrow region;
• ptosis of the eyebrows, resulting in overhanging of the skin in the upper eyelid;
• "Crow's feet";
• lowered outer corners of the eyes;
• drooping of the cheeks;
• nasolabial folds;
• anatomical features of the structure of soft tissues.

Contraindications

Endoscopic lift, like any other surgical operation, has general contraindications:

• oncological diseases;
• vascular and heart disease;
• malfunction of the thyroid gland and high blood sugar;
• poor blood clotting;
• chronic ailments of internal organs;
• infectious diseases.

There may be specific contraindications for endoscopic lifting, for example, for people with a bulging and high forehead.

At what age can you do the procedure

Endoscopic lifting is recommended for people with mild signs of aging, whose skin still has its own elasticity. This operation is recommended at the age of no earlier than 35 and no later than 50 years. In deep old age, this technique will not give the desired result.

Preparatory activities. Analyzes, examinations

As with any surgery, an endoscopic facelift requires careful preparation.

You need to go through in advance:

• consultation with a plastic surgeon;
• pass all tests (general blood test, for syphilis, infectious diseases, for HIV);
• pass a urine test;
• undergo fluorography and do a cardiogram;
• undergo a study of the veins of the lower extremities;
• visit a therapist, neurologist, cardiologist, otolaryngologist, gynecologist.

Preparatory measures are very important, as they avoid possible complications.

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Anesthesia

This operation is performed under general anesthesia, so patients do not feel any discomfort or pain.

Preparatory stage

A facelift with an endoscope has its own preparation characteristics:

• 14 days before the scheduled procedure, you should stop taking medications and start following a diet.
• The tightening should be done at the end or beginning of the menstrual cycle.
• Hair dyeing (if necessary) should be done before the operation, since this cannot be done in the postoperative period.
• On the day of the operation, antibacterial and antiviral drugs are prescribed.
• You should have dinner no later than 18 hours before the operation.
• On the day of the procedure, it is forbidden to eat or even drink.
• Compression stockings should be worn immediately before an endoscopic facelift.

How is the procedure performed

An endoscopic facelift is performed sequentially:

• anesthesia is done;
• considering the area of ​​the lift, the surgeon makes incisions;
• an endoscope is inserted into the incisions, and the doctor observes what is happening on the screen;
• the skin is tightened and excess adipose tissue is removed;
• the muscles are fixed and sutures are applied.

How is a lift performed for different zones:

1. For eyebrows... The drooping of the eyebrows (ptosis) is the inevitable result of gravity acting on the soft tissues of the upper face. As a result, there are excess skin on the upper eyelid, which can even narrow the field of vision. An endoscopic eyelid lift is performed through incisions in the hair (2-5 small incisions). An endoscopic forehead and eyebrow lift (photo, the consequences of the procedure - later in the article) is able to correct the angle of inclination of the eyebrows, their shape, asymmetry.
2. Endoscopic forehead lift... The endoscopic forehead and eyebrow lift (photo, the consequences of the procedure can be seen below) allows you to eliminate forehead wrinkles, smooth longitudinal wrinkles on the bridge of the nose, tighten the drooping corners of the eyes and eliminate crow's feet. Also, small incisions are made in the scalp, detachment and tissue transfer.
3. Midface... The lifting of this area is able to effectively fight against nasolabial folds and perform volumetric remodeling. This is a more gentle procedure, especially for younger patients. The procedure is performed under general anesthesia. 2 incisions are made in the hair (in the temporal region) and 2 incisions in the mouth under the upper lip.
4. Lower third of the face... The lower face lift is aimed at correcting the first signs of aging when the skin has the necessary elasticity. Allows you to get rid of flews, drooping tissues around the mouth and lips. The surgeon uses endoscopic equipment to exfoliate “tired” tissues in the mouth and lips and reposition them.
5. Upper third of the face... Endoscopic lifting of the upper third of the face is performed through punctures above the hairline to avoid the appearance of marks and scars after surgery. The consequences and results of an endoscopic forehead and eyebrow lift can be seen in the photo. This procedure can literally erase several years from the face.
6. Neck... The incision is made by the surgeon in the chin crease as well as behind the ears. The incisions are located in natural folds, so the scar is marked and almost invisible.
7. Cheekbones... This operation is indicated in cases of a lack of volume in the cheekbones or when the cheeks are sagging.Access to the tissues is achieved through 3 incisions (2 lateral and 1 median) behind the hairline.
8. Temporal lift... This type of lift is able to correct the first age-related changes around the eyes, without the need for serious surgical intervention. It is carried out through a small incision in the hair in the temporal region.

Recovery measures and rehabilitation

Since the incisions during this procedure are very small, the rehabilitation period passes with minimal discomfort, and much faster compared to recovery from other plastic surgeries. Of course, bruises, swelling and discomfort in the first days will be, but in general, the recovery period lasts about a month. The patient stays in the hospital for 1-2 days, and the stitches are removed 7 days after the operation.

After the lift, a compression bandage is applied, which should be worn for 14 days.

On the second day after the tightening, it is recommended to undergo a course of physiotherapy (7-10 sessions).

After the operation, you cannot:

• go in for sports, all physical activity is reduced;
• drink alcohol and smoke;
• eat fatty and junk food;
• take medications on your own;
• wash your hair while stitches are in place;
• visit the sauna and swimming pool for a month after the operation.

After an endoscopic facelift, you need to:

• drink tea without sugar, mineral water;
• sleep on a high pillow so that the head is above the level of the body;
• cold compresses with the appearance of edema and hematomas.

How long does the effect last

Endoscopic forehead and eyebrow lift (photos, consequences and results below) lasts on average from 7 to 10 years. Repeated endoscopy is also possible, but after this time, a circular facelift is most often required.

Photo Before and After

Many patients want to see the consequences of an endoscopic forehead and eyebrow lift. You can clearly see the results in a photo on the Internet or ask a plastic surgeon to demonstrate them. As with any surgery, endoscopy leaves bruising and swelling that will subside after a couple of weeks. Then the first results will appear.

After 3 months, the effect will be more noticeable, and the end result can only be judged after six months. As you can see from the photographs, this procedure allows you to look younger, smooth out wrinkles on the forehead, eliminate small crow's feet around the eyes, and eliminate nasolabial folds.

Possible complications and consequences

In rare cases, the following complications may occur:

• hematomas;
• in the behind-the-ear area, where the strongest tissue tension is located, necrosis may develop;
• suppuration of the wound develops due to hair entering the wound when suturing;
• scarring;
• age spots at the site of incisions;
• deformation of the oval of the face;
• local hair loss.

What is the combination of the procedure

Endoscopic lifting is performed as an independent skin rejuvenation procedure, and is often combined with other procedures. Most often it is combined with a neck lift, eyelid blepharoplasty, lifting of the lower part of the face, liposuction, lipofilling, etc. Combined plastic surgery can give a more visible result.

The cost of the procedure in Moscow, St. Petersburg and regions

The cost of this procedure is influenced by many factors: the professionalism of the surgeon, the prestige of the clinic, the region. So, in the capital, the cost of an endoscopic eyelid lift procedure will cost from 90 to 190 thousand rubles, a lower face lift will be more expensive - from 120 to 210 thousand rubles.

In St. Petersburg, prices are also quite high; in plastic surgery clinics, the cost of an endoscopic lift starts at 75 thousand. In other regions, this procedure can be carried out a little cheaper, again, it all depends on the type of brace and the qualifications of the doctor.

An endoscopic forehead and eyebrow lift can cope with the first signs of aging, improve facial contours, change facial expressions, smooth wrinkles.The photo shows the consequences of this procedure a couple of weeks and several months after the operation. Endoscopic lifting allows you to look young, fresh, and correct your appearance.

Video: endoscopic facelift

How a facelift is performed, see the video:

Endoscopic forehead lift procedure. What are the possible complications?