Endoscopic forehead and eyebrow lifting. Photos before and after, how it is done, consequences, reviews

An operation aimed at removing sagging skin and internal tissues in the forehead and eyebrows is called endoscopic lifting. The procedure is performed by a qualified plastic surgeon in a clinical setting. There are several types of this cosmetic procedure.

When choosing a particular technique, it is necessary to take into account that surgical correction in order to rejuvenate and remove excess skin in the frontal and eyebrow regions involves a period of rehabilitation and recovery. It should take into account the indications, as well as a number of possible complications and contraindications for its implementation.

What is an endoscopic forehead and eyebrow lift, prices

Endoscopic forehead and eyebrow lifting is a modern technique for rejuvenating and correcting negative age-related changes. Ptosis, or sagging, is caused by aging processes, the natural impact of the forces of gravity. As a result, there is a loss of tone, excess skin tissue is formed.

With natural compensation, the body tries to restore the state of ptosis, after which excessive muscle hypertonia often occurs, which leads to the appearance of deep horizontal wrinkles. Such changes may make the person look tired or angry.

Thanks to endoscopic facelift, correction and rejuvenation can be performed using a special device - an endoscope. Unlike classical plastics, the endoscopic technique involves the incision of small incisions.

After surgery and recovery, the incisions remain invisible, most often they are performed on inconspicuous areas - in the parotid region, the oral cavity or on the scalp. During the operation, the excess skin is not excised, the endoscope is used to lift the subcutaneous structures with the subsequent redistribution of internal tissues.

The method has several features:

• Endoscopic facelift can be combined with other techniques - blepharoplasty, circular lifting, filler injection.
• Cut length - no more than 1 cm.
• Minimal surgery is characterized by a minimal risk of complications and a short rehabilitation period.

Before deciding to carry out such a procedure for rejuvenation and correction, you should familiarize yourself with the advantages and disadvantages of the method:

The cost of this operation is influenced by many factors:

• professionalism and qualifications of a specialist;
• correction method and type of equipment;
• the prestige of the clinic;
• location and region.

So, in the capital's clinics, the price of an endoscopic lifting of the upper face zone will be from 100,000 to 190,000 rubles. In the regions, the cost of the operation varies from 75,000 to 130,000 rubles.

After a successful procedure, the eyebrows acquire the correct arcuate shape, there is a persistent rejuvenation effect, positive changes in the shape of the eyes, elimination of wrinkles, deep folds on the face.

To determine the feasibility of an endoscopic lifting session, it is recommended, upon prior consultation with a qualified specialist, to carefully evaluate all the decisive factors, familiarize yourself with the advantages and features of the method, and take into account the individual characteristics of the organism.

Indications

An endoscope-assisted facelift is a safe procedure with minimal surgical intervention.

Correction is shown:

• in the case of sagging or low-lying eyebrows, creating a haggard or sullen expression on the face;
• with deep horizontal wrinkles that cross the entire forehead;
• in the case of deep creases and wrinkles in the area of ​​the nose;
• with drooping of the outer corners of the eyes caused by ptosis of the upper eyelids;
• with the omission of the internal tissues of the upper third of the face;
• in case of weakening of muscle tone and increased laxity of the skin in the temporal zone;
• with fatty deposits and overhanging skin in the periorbital region (above the eyes).
• with numerous small wrinkles in the eye area - "crow's feet".

Carrying out such an operation is advisable after the age of 40, since it is during this period that a pronounced effect of gravity is observed, which leads to the development of ptosis pathologies. In exceptional cases, under the age of 35-40, in the presence of a pronounced drooping of the eyebrow line, the doctor may prescribe a correction with an endoscope.

The technique is used no later than 50 years, at a more mature age, this correction technology will not give the desired result. After assessing the initial state of the internal tissues and skin, the specialist selects the appropriate endoscopic technique.

Contraindications

Endoscopic lifting is a universal technique of correction, effective rejuvenation of the forehead and eyebrows, which allows to eliminate the aesthetic problem of pronounced deep wrinkles caused by prolonged exposure to gravitational ptosis.

Before choosing a particular intervention technique, as well as immediately before the operation, the specialist must establish the presence or absence of a number of factors that are contraindications to endoscopic exposure.

This procedure is not performed if the following factors are present:

• malignant neoplasms;
• diabetes of any type in the stage of decompensation;
• pathologies of the thyroid gland;
• diseases of the cardiovascular system;
• disturbances in the work of the circulatory system, low blood clotting;
• tendency to excessive pressure increase, arterial hypertension;
• infectious diseases, inflammatory processes in the body;
• pathologies and chronic diseases of internal organs in the acute stage;
• low elasticity of the skin in the upper third of the face;
• significant body fat or excessive skin thickness in the upper third of the face;
• external and internal damage to the skin in the area of ​​the frontal lobe.

Due to the fact that endoscopic lifting does not provide for the excision of excess skin, it is not recommended to perform it in the presence of excessive wrinkles. Surgical practice shows that a too high curved forehead can cause certain difficulties during the operation. The endoscope correction technique is more suitable for a short and flat forehead.

Possible complications and consequences

Endoscopic forehead and eyebrow lift is a complete surgical procedure.

Therefore, the risk of possible negative consequences after the operation should be taken into account:

• Necrosis. The cause of skin necrosis can be a lack of nutrition of internal tissues, which occurs in the area of ​​greatest tension - in the area behind the ears.
• The appearance of hematomas... Blood can leak through the suture lines, and tissue volume increases in the behind-the-ear region. Hematomas appear 4-6 hours after the operation, so it is necessary to take measures to eliminate negative consequences immediately.
• Scarring. The appearance of hypertrophic scars occurs due to the individual predisposition of the organism or as a result of the compaction of the sutures. To avoid such a manifestation, drug therapy is prescribed with drugs that improve blood microcirculation.
• Suppuration. If an infection or a bundle of hair gets into the incision, as well as as a result of necrosis or the appearance of hematomas, suppuration may develop.
• Hair loss. A local consequence can be caused by a strong tension of the skin in the scalp with damage to the hair follicles. Hair growth usually returns to normal 2-4 months after surgery.

Also, a common negative manifestation after lifting is the appearance of traces of hyperpigmentation at the incision sites. An unprofessional approach, an incorrectly chosen technique or a low qualification of a specialist can cause a serious complication in the form of deformation of the face oval.

What equipment is used

Facelift with minimal surgical intervention is carried out using a special apparatus - an endoscope. The main advantages of using such advanced equipment are a significant reduction in the operation time and low invasiveness of the procedure with an accelerated recovery process.

The endoscope consists of 3 main parts:

• A thin tube with a light source at the end, inserted into micro-incisions in the skin.
• Microscopic camera with which you can visually accompany the process of the operation.
• A monitor that broadcasts a detailed enlarged image of the state of the subcutaneous structures.

During the operation, surgical instruments are used to make incisions, remove excess fatty tissue, and tighten stretched tissues and muscles.

Operating techniques of tightening

Endoscopic lifting is used for:

• eyebrow line correction;
• smoothing of creases in the forehead and glabella;
• changes in the boundaries of the hairline.

The appearance of age-related changes - puppet wrinkles, "widow's folds" leads to the fact that the facial expression becomes more sullen and tired.

Surgical techniques are used to correct these aesthetic problems:

• coronary technique (open frontlifting);
• endoscopic method;
• temporal technique;
• thread reinforcement;
• transpalpebral lift;
• superciliary incision technology;
• method with an incision along the extreme hairline.

Each technique has advantages and disadvantages, as well as the appropriateness of the application. The appropriate technique is selected by a specialist surgeon, assessing the severity of the aging process, as well as the presence of indications for facelift of the upper third.

Coronary technique

Coronary front lifting is a classic method of surgical correction and rejuvenation.

The operation is shown in the following cases:

• in the presence of rough creases and wrinkles in the frontal part;
• with visible manifestations of gravitational ptosis of the brow region;
• with an excess of sagging skin tissue in the glabella zone.

The operation is performed under general anesthesia.

After examination, the doctor chooses a strategy for manipulating the type of incision:

• bicoronary, located beyond the border of hair growth (at a distance of 7-8 cm from the borders);
• modified, bending in the frontal part, near the temporal zone;
• along the border of hair growth, in the presence of bald patches or with a high type of forehead.

In the process of surgical manipulations, excess skin is excised, drainage is installed. During the coronary lift, soft tissues, including the periosteum, are affected, which makes this method the most traumatic, requiring complex and long-term recovery.

The disadvantages of the method include the risk of deformation of the proportions of the oval, numbness, impaired growth, and intense hair loss. The advantage of frontlifting technology is the duration of the result, the absence of noticeable postoperative marks.

Endoscopic method

Endoscopic forehead and eyebrow lifting is considered the most effective and safe method for correcting age-related defects. Frontlifting with an endoscope allows the surgeon to fully control the process using a camera and monitor, which broadcasts the state of the subcutaneous structures and tissues.

Depending on the amount of work, the manipulation can last 1-4 hours. The technology of endoscopic correction is recommended for all categories of patients, except for those with deep coarse wrinkles, high forehead and severe ptosis. In these cases, coronary front lifting is more effective.

Algorithm for endoscopic lifting:

1. In the immediate vicinity of the border of hair growth - in the temporal and frontal regions, small incisions are made, the length of each is no more than 2 cm.
2. A thin tube with a light source and a microscopic camera is inserted inside the incision.
3. Dissection of certain muscles that are responsible for the formation of wrinkles, as well as tissues along the eyebrow line is performed.
4. Muscles and tissues are lifted to the desired level and fixed in the appropriate position.

All manipulations are performed quickly and accurately, which entails a decrease in the risk of blood loss and the development of complications during the subsequent rehabilitation period. The advantages of endoscopic technology are the low invasiveness of the method, high efficiency and quick recovery after surgery.

Other techniques

In modern plastic cosmetology, there are several alternative methods for correcting and rejuvenating problem areas of the frontal and eyebrow zones:

• Lifting with endotins... The peculiarity of the method consists in the installation through micro-incisions of thin absorbent plates with guiding pins-immobilizers. After 4-6 months, complete resorption of the endotin plates occurs, which leads to the formation of a new collagen framework. The formation of new fibers provides a lasting lifting effect. The advantages of the innovative technique with endotins are the accuracy and reliability of plate fixation, a low likelihood of complications and a lasting result of lifting.
• Temporal lift technology. The operation is performed under local or general anesthesia, the manipulation time is no more than 45-60 minutes. To provide a lifting effect, incisions are made in the temporal zone with excision of excess skin and tissues. As a result, the relief is smoothed, fine wrinkles at the outer corners of the eyes are eliminated, the line of the cheekbones is tightened. The method has practically no contraindications, is effective, low-traumatic, for the best result it is recommended to combine it with other plastic and cosmetic correction methods.
• Thread lifting. The modern technology of rejuvenation with the elimination of visible age-related defects consists in the implantation of special threads subcutaneously. After fixing the thread frame, the relief is leveled with a tightening effect. Absorbable or non-absorbable threads are used for manipulations. Reinforcement is performed under local anesthesia; the operation will not take more than 60 minutes. First, punctures are performed in the temporal region. Then, with the help of special needles and cannulas, the threads are pulled under the skin and brought out in the zygomatic zone.The lifting principle is achieved at the moment when the thread is pulled in the direction opposite to the insertion, then the incisions are fixed in the tissues. After reinforcement, no traces of the operation remain, the technology is safe and effective, and does not require long-term rehabilitation. The main task of a specialist is to choose the right type of threads, to form a frame.

In addition to these methods of correction and rejuvenation in aesthetic surgery, the lifting method with superciliary incisions and the technology of transpalpebral lifting are also used. These techniques allow you to correct wrinkles and eliminate sagging in the upper part of the periorbital zone, frontal and brow region.

Don't miss the most popular column article: Plasmolifting of the face - what it is, how it is performed, results, photos before and after the procedure.

Non-surgical impact

In the presence of visible age-related changes, the appearance of which is due to gravitational ptosis, non-surgical treatment is ineffective. All non-invasive techniques can be used as prophylaxis or maintenance therapy, but they do not give a quick and visible result of lifting.

So, for the purpose of prevention, you can use:

• biorevitalization with hyaluronic acid injections to restore water balance;
• mesotherapy with the introduction of cocktails to nourish, moisturize and enhance the skin's immunity;
• injection therapy with botox with the effect of temporary muscle paralysis to eliminate folds and expression lines;
• hardware massage techniques to improve lymph flow and blood flow, saturation of cells with oxygen, impact on fibroblasts in order to activate collagenesis;
• laser light exposure, photorejuvenation, thermolysis and other techniques to stimulate collagen synthesis and tone up;
• thermage using radio wave effects to tighten collagen fibers, strengthen internal tissues and increase the elasticity of the epidermis.

All supporting cosmetic procedures are recommended to be carried out as a course, but even long-term exposure is not able to eliminate the signs of pronounced ptosis of the frontal and brow zone.

Rehabilitation and recovery

The risk of developing side effects, as well as the duration of maintaining the lifting effect depends on compliance with a number of rules during the rehabilitation period after surgical intervention:

• Starting from the second day, the doctor prescribes the passage of physiotherapy in a course of 7-10 sessions.
• The first 4-5 days, a compression bandage is applied to the postoperative areas. The stitches are removed after 5-10 days.
• It is recommended to exclude physical activity after the operation.
• It is forbidden to haphazardly take medications without first consulting a doctor.
• Exclude fatty, spicy, salty foods from the diet.
• Sutures should be properly cared for with antiseptic medications prescribed by a doctor.
• It is recommended to refrain from visiting the solarium, baths, saunas and pools, to minimize exposure to the sun.

If the incisions were made on the scalp, it is not recommended to wash it until the sutures are completely healed. To improve your well-being, you can drink herbal teas without sugar, mineral water. It is recommended to choose a sleeping position on the back, so that the head is above the level of the body. To relieve pain and swelling, hematomas, it is recommended to apply cold compresses.

Duration of the result

The final effect can be assessed only after the end of the rehabilitation period, after 1-3 months. The aesthetic result of a facelift after endoscopic front lifting lasts an average of 7-10 years. Reoperational lifting is possible, but after 10 years, specialists in most cases prescribe a circular lift.

If you follow all supportive and preventive measures, minimize exposure to the sun with exposure to UV rays, lead a healthy lifestyle, you can preserve the effect of the postponed anti-aging procedure for a long time.

An effective modern rejuvenation procedure, endoscopic lifting, is most often used to correct the forehead and eyebrows. To achieve the best result, you can combine the operation with alternative procedures - blepharoplasty, SMAS-lift, laser resurfacing, it is also important to adhere to all the rules and recommendations of the doctor.

Article design: Mila Friedan

Endoscopic lifting video

Circular endoscopic facelift: