Endoscopic face lift. A safe rejuvenation technique - endoscopic facelift Endoscopic midface lift

The essence of any surgical rejuvenation comes down to relief changes in muscle and skin tissue, the reverse of age-related changes. Endoscopic facelift is one of the safest methods of this type of surgery.

What is an endoscopic facelift

Rejuvenation surgery involves peeling away the skin, cutting and moving muscle tissue, removing fat deposits if required, attaching muscle fibers, and stretching and fixing the skin. This involves excision of excess skin and connective tissue.

Endoscopic lifting belongs to the category of minimally invasive methods. Its fundamental difference from traditional plastic surgery is the absence of excision. Skin, muscles, and connective tissue are redistributed in such a way as to take their “rightful” place and thus level out age-related changes. Only adipose tissue must be removed, since it is absolutely excess.

To hold muscles and skin in a new place, special sutures or endotins are used - staples and tapes with “tweezers”. The latter fix the tissues for a sufficiently long period of time, so that by the time they disappear, the newly formed connective tissue strengthens the skin and muscles. Endotins dissolve on their own and do not need to be removed.

This approach provides many benefits:

minimum number of incisions and their very small size – within 1.5–2 cm;
high precision of the operation: the use of an endoscope allows you to obtain an image and constantly assess the condition of the surgical field;
minimal intervention guarantees a minimum of consequences and complications;
the recovery period after a facelift is significantly lower;
The operation can be carried out locally - in certain areas, or comprehensively.

The only drawback of the intervention is that it requires a highly qualified surgeon. In addition, there are restrictions based on age, and not just the patient’s condition.

The video below will tell you what an endoscopic facelift is:

The essence of the procedure

The correction got its name – endoscopic – due to the method. In a conventional operation, it is necessary to completely peel off the skin, literally removing it from the operated area, which requires large incisions and significant blood loss.

Endoscopic technology allows us to do things differently. Small incisions are made in the required places - up to a maximum of 2 cm. Silicone tubes are inserted into the incisions. The lighting and recording system – the endoscope, and the instruments themselves – move along them. As a result, the doctor does not need to peel off the skin, since he receives the image using an endoscope. Accordingly, there is no need to enlarge the incisions.

The small size of the incisions allows modification of the techniques used. To correct the middle zone of the face, a vertical lift is possible, when the skin of the cheeks is raised to the lower ciliary edge and at the same time does not affect the nerve nodes located in the middle part of the cheek. The effectiveness of a vertical lift is higher; a minimal amount of skin needs to be redistributed, but it cannot be done in the usual way.

Endoscopic technology allows you to combine interventions in different areas, with multi-vector tension. Although many plastic surgeons believe that an integrated approach pays off to the greatest extent.

Professor A. M. Borovikov, one of the most famous practicing surgeons, claims that patients return after local rejuvenation literally a year later, because they discover that compared to the younger part of the face, the remaining areas do not look aesthetically pleasing. After comprehensive rejuvenation, over 10 years of practicing this procedure, no one has yet applied for re-restoration.

The operation lasts from 40 minutes to 6 hours, depending on the scale of the intervention. Local anesthesia is only possible for partial correction or blepharoplasty. All other types of lifting are performed under general anesthesia, which is a limitation for people with diseases of the cardiovascular system.

The result of rejuvenation lasts on average 5–7 years: this is due to individual characteristics and general health. A complex operation, as already mentioned, provides a more lasting result.

Photos before and after facelift

Venues

The division of the face into zones is associated with the mechanisms of aging and understanding the subject of plastic surgery.

The face is divided into lateral and central - medial parts, along a conventional vertical line running along the nose. According to this division, it is immediately clear why a vertical lift, if possible, will give more tangible results. Signs of aging are concentrated mainly in the medial part, and lateral skin tightening is effective only in relation to the lower part of the face and the lateral area. Although, of course, it still reduces relief changes.

The face is divided into 3, or rather, 4 zones. Conditional lines run horizontally at the level of the eyebrows and nostrils.

– neck, jaw line, chin, corners of the mouth. Nasolabial folds are no longer included in this zone, since they appear when the skin of the cheeks sagging and, in fact, corrections in this case are not available. Signs of aging here include a double chin, jowls, drooping corners of the mouth, and folds from the corner of the mouth to the chin. Excess fat most often accumulates in the lower zone, so correction must be combined with liposuction. The mechanism for correcting the lower third of the face is as follows: an incision is made around the ear and the soft tissue of the cheeks is redistributed. At the same time, the jowls are removed, the folds around the mouth take on an inclined position and are smoothed out. For a lift, no incisions are made under the chin. Lifting the lower part of the face does not affect the condition of the middle zone.

– the space between the horizontal lines at the level of the nostrils and eyebrows. Includes the nasolabial folds and lower eyelids, although the latter are often separated into a separate zone 4. The middle zone ages the fastest; signs are the zygomatic sac, the relief between the tear groove and the ciliary edge, and, of course, the most obvious sign of aging is the nasolabial sweetness formed by overhanging tissue. Correction of the middle zone provides the most pronounced rejuvenation effect, especially when combined with a lower eyelid lift. The operation takes from 1.5 hours if it concerns only the orbicularis facial muscle, and up to 3 hours if a check-lift is performed.
- The technique is as follows: incisions are made along the lower eyelash edge in a natural fold. The muscles are cut through them and moved to their original position, secured with endotins, then the skin is stretched. The resulting folds in the corners of the eye are removed with a lift in the temporal region. The complexity of the procedure lies in the fact that you have to work with facial muscles. If they are incorrectly shifted, synchronous work is disrupted, and this is fraught with asymmetry and disturbances in facial expressions on different sides of the face.
- Another option is also possible: in this case, a lateral lift is combined - incisions are made near the ear, and a lift through incisions on the oral mucosa. The technique is safe, since the nerve nodes in the center of the cheeks are not affected.
- forehead and eyebrows. Signs of aging here: drooping eyebrows, drooping upper eyelid, horizontal wrinkles and wrinkles on the forehead. Drooping of the eyebrows and eyes may not be associated with age and can be corrected. The essence of the operation: incisions are made along the border of hair growth in order to hide the roller that appears when the skin is stretched, and the stitches themselves, of course. At the same time, the drooping disappears, wrinkles are leveled out, but the height of the forehead increases. If this is a problem, a variety of techniques are used: oblique tilt, sawtooth pattern, etc. An upper face lift is often combined with other types of correction. The fact is that peeling off the skin on the forehead opens up many opportunities for rejuvenation of the eyes, the middle zone of the face, and even the lower one - it would be a shame not to take advantage of this. You can remove folds at the temples, change the shape of the nose - a hump, and fill in the cheekbones. Moreover, in this case, the need for side incisions for lateral skin tightening disappears. True, the result of such an operation is initially fixed not with sutures or endotins, but with titanium screws, which are removed after 20 days.

Zone 4 – eye socket. Its upper part belongs to the upper third, the lower part to the middle third. However, often the operation is performed only here, since the eye socket focuses the most obvious signs of aging: wrinkles and folds in the corners, drooping of the upper eyelid, inversion and drooping of the lower eyelid, increasing the distance between the ciliary edge and the tear groove. Often, patients who are not ready for radical rejuvenation undergo eye socket correction as a compromise between the desire to get a more youthful face and the fear of a lift. There are no physiological or anatomical justifications for separating the orbit into a separate zone. On the contrary, the surgeon works with two different zones during the operation, which, of course, is unprofitable. However, blepharoplasty as a separate procedure is in great demand, which has to be taken into account.

Comprehensive rejuvenation involves working on the entire face at once. This decision should be considered the most rational. A minimum number of cuts are made, since maximum actions are carried out through them. In relatively mild cases, the entire correction is performed through incisions on the forehead and in the crease of the lower eyelid. In addition, the results last longer.

This video explains clearly and with useful diagrams how the operation is performed:

At what age can you do it?

There are practically no age restrictions for correcting cosmetic imperfections - drooping eyelids or eyebrows. But for anti-aging procedures, age matters.

The endoscopic technique does not involve excision of muscles and skin. The calculation is that relatively elastic tissues take root on their own in the “new” place, and connective tissue is formed quickly enough to secure this position. Alas, in old age this is impossible.

Skin with too low elasticity simply will not be able to hold on and will sag again. The same can be said about muscle fibers: the better they are in condition, the greater the chance of success of the operation. Accordingly, any endoscopic procedures after 60 years are meaningless.

This kind of midface rejuvenation can be done as early as 30–35 years of age. Ages from 35 to 50 are optimal.
Correction of the lower part of the face, as a rule, is performed later - from 45 to 60 years. However, in combination with liposuction, it is done earlier if the double chin and jowls are caused by excess adipose tissue.
The age limit for rejuvenation of the upper facial zone is 60 years.
Blepharoplasty is performed between the ages of 35 and 60 years.

Photo of the patient

The complex of endoscopy of the upper third of the face includes several types of operations - depending on the indications, operations are performed in isolation or combined:

forehead lift,
eyebrow lifting,
lifting of the eyebrow area,
lifting of the temporal areas.

Often, age-related changes in the forehead, eyebrows, eyebrow area and temple area can be resolved in one operation. Before the consultation, the plastic surgeon assesses the condition of the patient’s tissues, and also determines the position of the hairline and hairstyle preferences, which allows him to get a complete picture and offer the patient the most effective surgical technique to achieve maximum aesthetic results with a complete absence of scars.

Free annual maintenance and monitoring! After surgery, we provide our patients with free annual care, monitoring and support from surgeons and clinic staff on all issues related to your plastic surgery.

Installment plans are possible*. For details, call the clinic.

Prices for endoscopic upper zone lift

The final cost of the operation is determined during a consultation with a plastic surgeon.

Endoscopic lifting of the upper zone: forehead and temples - temporal region, eyebrows

Badak O.E., Filippov A.I., Kopasov A.E., Kondratyev D.G., Naydenov N.P. (Christmas discount from January 3rd to January 21st!)

260,000 205,000 RUR

Tumakov G.I. (Promotion!)

260,000 208,000 ₽

Egorova M.V.

Abrahamyan S.M.

Prices for surgery from professors S.N. Blokhin and Vulfa I.A. - on request.

All inclusive!

Consultation with an anesthesiologist
Anesthesia
Hospital stay (room + meals)
Complete post-operative care
Free annual maintenance (monitoring and support on all issues related to the operation)

Attention! Lifting of the forehead and temporal areas can be performed using endotins - special biodegradable tissue fixatives. The final decision on the use of endotins is made by your plastic surgeon during your consultation.

Forehead lift procedure

What scars remain after a forehead lift?

Endoscopic forehead lifting is carried out through 3 micro-incisions located in the scalp. The size and location of the incisions during a forehead lift depend on the technique chosen by your plastic surgeon. The incisions are usually made along the hairline or in the deep crease of the forehead - in the future they will be carefully hidden.

Tightening techniques:

Coronary technique - indicated in rare cases for severe ptosis of the skin and soft tissues.
The incision is made in the scalp - 3-5 cm above the hairline - starting above the ears and hidden in the hair.
Endoscopic forehead lift.
This technique is performed through three micro-punctures 1 cm above the hairline - through which endoscopic equipment passes. In the future, the scars will be completely hidden in the hair and completely invisible to others.
Minimally invasive method.
Thin incisions 1.5 cm long will be hidden at the border of the frontotemporal region and in the scalp. A special endoscopic wedge resection technique allows for correction of the frontotemporal zone, as well as minimal lifting of the lateral corners of the eyes and the eyebrow line.

There are a large number of cosmetic preparations and cosmetic procedures for facial skin care that have a rejuvenating effect: , . With their help, it is possible to achieve a significant improvement in her condition. However, there comes a time when these remedies become powerless against loss of elasticity and gravitational ptosis. The desired effect can be obtained if you consult a plastic surgeon in time. The latest technique in plastic surgery is endoscopic facelift. It makes it possible to achieve amazing results.

What are the causes of age-related facial changes?

This problem is faced by patients starting from 30-40 years of age, as well as those who have lost body weight in a short period of time. Due to a decrease in synthesis, a decrease in the content of collagen and elastin fibers, the skin loses its firmness and elasticity.

Tissues in the area of facial muscles are especially susceptible to changes. When the latter contract, the skin forms folds in the most mobile areas of the face, which are smoothed out when the facial muscles relax. With increasing age, this ability is increasingly lost due to increased fragility and slower recovery of collagen and elastin fibers, and folds become deeper.

The fatty tissue located in the area of the cheekbones sinks, pulling the skin. As a result of this, furrows are formed at the nose, in the corners of the eyes, bags under the eyes, and tissues located in the area of the superciliary arches descend and hang over the upper eyelid.

The constant reflex contraction of the forehead muscles, aimed at retaining the tissues, leads to an increasingly deepening of the frontal longitudinal grooves and vertical wrinkles between the eyebrows. The fatty tissue under the skin in the cheek area gradually sinks, deepening the nasolabial folds and forming the so-called “folds of sadness” in the corners of the mouth, and the chin sags.

Progressive tissue atrophy aggravates all these processes. They most noticeably affect the middle area of the face. It takes on a somewhat gloomy, preoccupied and tired appearance. It, like a mirror, reflects the aging of the body, which greatly affects the psychological state of people, especially women. Endoscopic face lifting helps to get rid of these changes for a long time.

Introduction to surgery and indications

Endoscopic lifting is the most modern method in plastic surgery in the fight against aging. It is the most effective compared to all other methods.

The endoscopic method consists of using a flexible plastic device with miniature optical and powerful lighting systems (endoscope). Through it, the entire picture in a significantly enlarged form is transmitted to the monitor screen. The endoscope itself is inserted through one of the punctures in the skin, and the corresponding instruments are inserted through the others, with the help of which manipulations for detachment, tightening and fixation of tissues are carried out. The operation is performed under general anesthesia for 1-4 hours.

The advantages of endoscopic lifting are:

Safety and absence of traces after surgery.
Low traumatic. If, when using other methods, large incisions had to be made to provide access to the necessary tissues, then with endoscopic lifting, in most cases, 2-5 punctures are sufficient (depending on the volume of the operation). This allows you to act locally precisely in those areas and on those tissues that need to be moved, tightened and, accordingly, rejuvenated.
Opportunities to achieve a more lasting and high-quality aesthetic result that lasts for many years (sometimes for life). The operation is performed on the deepest layers of tissue. Endoscopy makes it possible to separate the entire array of soft tissues from the bones without affecting their structure and move them entirely.
Minimum number of postoperative complications in the form of hemorrhages and loss of sensitivity in certain areas due to damage to nerve endings. This is due to the large enlargement of the operated area and the ability to bypass even small vessels and nerves without damage.
A short period of rehabilitation and preservation of natural facial features.

Types of endoscopic lifting

Temporal areas and forehead

Endoscopic operations to tighten the skin of the forehead and temporal areas are called upper endoscopic lifting, the indications for which are:

Transverse and longitudinal wrinkles on the forehead.
Low drooping eyelids or eyebrows.
Wrinkles at the root of the nose and in the area above the bridge of the nose.

Surgical intervention is carried out using two punctures in the hair growth area. Under the control of a video camera, tissue is dissected at the points of muscle fixation to relax them. These muscles move the eyebrows downward, resulting in the formation of folds and facial wrinkles on the bridge of the nose.

To eliminate frontal wrinkles, endoscopic equipment is used to separate soft tissues from the bone, followed by their displacement and fixation with special biodegradable plates. On the forehead, the skin is shifted upward and strengthened with special glue. The camera allows you to view nerves, blood and lymph vessels in an enlarged form.

This type of lift allows you to:

get rid of folds between the eyebrows and wrinkles on the forehead;
raise overhanging eyebrows;
raise the outer ends of the eyebrows, which gives the face an “open” look, freshness and vigor.

There are no hemorrhages after the operation. The swelling goes away within 10 days, which makes it possible to return to work. Complete scar formation occurs in about 2 months.

Endoscopic midface lift

This area is the most difficult to correct with all types of circular lifting. In some cases, endoscopic lifting is combined with other anti-aging interventions - or blepharoplasty. Indications for using the technique are:

Reduced cheek volume and sagging skin.
Deep nasolabial folds.
Bags under the eyes.
Drooping of the eyelids, corners of the mouth, skin of the infraorbital area.

To perform a midface lift, surgeons practice the following techniques:

check-lifting– is a comprehensive rejuvenation of the middle zone from incisions in the lower eyelid; this allows you to correct changes in the infraorbital region, the area of the zygomatic bones to the area of the nasolabial folds;

temporal or temporal lift, in which access is made from incisions in the mucous membrane of the upper lip, in the temporal zones and in the lower eyelid area using ultra-thin clamps made of biomaterials (); The technique makes it possible to give the face a natural look with a cheek lift.

Lower face area

The lower zone is the edge of the lower jaw and the area of the angle between the chin and neck. If changes in this area occur only due to the accumulation of adipose tissue, correction can be carried out using classical liposuction or. But more often this is due to age-related aging of tissues, during which they “hang” under the lower jaw, the formation of a double or triple chin with the formation of deep folds of skin on the cheeks and around the mouth, wrinkles on the neck, and the disappearance of clear contours of the oval of the face. The degree of such changes is influenced by the size and shape of the lower jaw: if it is small, then the contour of the lower zone is not expressed even in youth.

Surgical endoscopic lifting of the lower face area is carried out through the main access under the chin and auxiliary ones behind the ears. In this case, excess fatty tissue is excised. If the skin of the neck and under the chin is sagging, a partial resection of the subcutaneous cervical muscle is additionally performed. The latter is sutured and moved.

If the lower contour is disrupted due to enlarged submandibular salivary glands, they are resected. If the lower jaw is underdeveloped, the desired effect is achieved with the help of additional plastic surgery with implants. Thus, an endoscopic face and neck lift is performed simultaneously.

The use of isolated lower endoscopic lifting is indicated only for young and middle-aged people in the absence of pronounced sagging tissue in the chin and cervical areas.

General contraindications

Endoscopic facial rejuvenation is a surgical technique that is contraindicated for the following diseases:

Infectious.
Inflammatory of a local nature.
Vessels and heart.
Systemic autoimmune.
Diabetes mellitus in the stage of decompensation.
Hypertension stages II-III.
Changes in blood clotting.
Kidney or liver failure.

Endoscopic lifting surgery is rarely performed in isolation in one area of the face. Most often, a combination of various options is used, using implants and. The highest results and the longest duration of their preservation can be achieved in people aged 30 to 50 years. Endoscopic lifting is the most effective operation in facial plastic surgery.

Endoscopic midface lift and upper facelift provide excellent results on their own. The effect can be enhanced by combining them with eyelid surgery, especially when performing lateral canthopexy. This avoids a round eye and gives the outer corner of the eye a raised position relative to the inner corner of the eye. When performing an upper facelift, endoscopic lifting of the middle third of the face in combination with blepharoplasty of the lower eyelids, in addition to lateral canthopexy, myopexy is performed (myopexy is a tightening of the orbicularis oculi muscle). The quality of procedures improves. As a result, the nasolacrimal groove and pseudozygomatic sac are successfully straightened.

An endoscopic midface lift combined with an upper facelift affects the majority of the face. Thus, with this type of lifting, we get the most pronounced result:

the projection of the cheekbones noticeably increases,
the height of the lower eyelid is shortened,
crow's feet are almost completely gone,
the eyebrow is raised to the required position,
wrinkles between the eyebrows are smoothed out,
the soft tissues of the midface in the cheek area are moved in the temporal direction,
The severity of the marionette fold decreases.