Endoscopic Facial Contouring

A camera thinner than a pencil is introduced through small incisions within the hair. Under direct vision, the tissues of the forehead, brows and midface are released and lifted upward and slightly outward, then fixed with dissolvable sutures. The hair is not cut, and once healed the incisions are hidden.

Because the skin, fat and muscle are moved together and their connections are left intact, facial expressions are not lost. The face is shaped in three dimensions, which is why Prof. Tezel also calls it three-dimensional facial aesthetics.

Many endoscopic patients are in their twenties and thirties. Some were born with low brows, downturned eye corners or a heavy midface that make them look tired, sad or stern, regardless of how they feel. Others work on camera, where a slightly round face or a downward curve at the corners of the eyes and mouth reads as low energy.

For them, an endoscopic lift gives the face a more oval shape, more defined cheekbones and a brighter, more positive expression, the look many people find when they pull their hair back.

On its own, endoscopic contouring treats the upper and middle thirds of the face and helps define the jawline. When there is significant loose skin in the lower face and neck, it is combined with a deepest plane facelift so that the whole face is lifted in one coherent direction.

Swelling and bruising settle quickly compared with open surgery. Most patients return to work after about two weeks, and the result continues to soften and settle over the following months.