The essence of each surgical rejuvenation lies in the relief shift of the skin and muscle tissue, the opposite of age-related changes. Endoscopic facelift, reviews of which will be described in this article, is considered one of the safest methods of this type of operation. You can find out more about the procedure below.
General description of the procedure
What is an endoscopic facelift? This operation involves peeling the skin, dissection, and then moving the muscle tissue. If required, then the removal of body fat is done. Muscle fibers are also fixed, the skin is stretched and fixed. In this case, the excision of all excess skin, as well as connective tissues, is done.
Endoscopic facelift belongs to the group of minimally invasive techniques. The fundamental difference from conventional plastic surgery is the absence of excision. Both muscles andthe skin and connective tissues are redistributed in such a way as to take their natural position, and thus eliminate existing age-related changes. Only adipose tissue is removed, because it will definitely be superfluous. Reviews of the endoscopic facelift indicate that this method is by far the most effective in the fight against deep wrinkles and signs of aging.
To keep the muscles and skin in a new place, special sutures or endotines are used, which are tapes and tweezers. The tape fixes tissues for a very long period of time, and by the time they disappear, the newly formed connective tissue fixes the skin and muscles. As for the staples, they dissolve on their own, there is no need to remove them.
Benefits
There are many benefits of an endoscopic facelift. Reviews of patients who have already gone through this procedure prove the effectiveness and efficiency of this rejuvenation technique. What will be the benefits? These should include:
- Minimum cuts. If they are made, then the size will be small, no more than 2 cm.
- High accuracy of the procedure. Through the use of an endoscope, specialists acquire an image and constantly assess the condition of the entire surgical field.
- A minimum intervention guarantees a person a small number of complications and consequences, or their complete absence.
- Rehabilitation period after the rejuvenation procedure is very short.
- The operation can be performed locally,that is, in certain areas, or in a complex way.
Flaws of the procedure
And what about the disadvantages of an endoscopic facelift? You can find only one drawback, which is the need for a highly qualified surgeon. There are also some age restrictions for this procedure.
The essence of the operation
So, we continue to consider the features of the endoscopic facelift, reviews, photos of the results. This procedure got its name due to the method. During a simple operation, the skin is completely exfoliated, removed from the operated area, as a result of which large incisions are made.
As for endoscopic technology, everything will be different here. In the necessary places, only small incisions are made, which are a maximum of 2 cm in length. After that, silicone tubes are inserted into them. A recording and lighting system, called an endoscope, moves along them. As a result, the specialist does not need to exfoliate the skin, since he receives an image using an endoscope. That is why there is no need to increase the incisions.
The short length of the incisions allows modification of the applied technique. For endoscopic midface lift, a vertical method is used, when the skin of the cheeks rises to the lower edge, while completely without affecting the nerve nodes that are located in the central part of the cheek. The effectiveness of suchvertical brace will be much higher. It is necessary to redistribute a minimum of skin cover, but such an operation cannot be performed by the usual method.
In addition, the endoscopic technique combines interventions at different sites.
The duration of the operation will be from 40 minutes to 6 hours. It will depend on the scale of the intervention. As for anesthesia, the local form will only be used for partial correction or for blepharoplasty. Other types of facelift are performed only under general anesthesia, so the procedure will be contraindicated for those people who have diseases of the cardiovascular system.
On average, the result of rejuvenation lasts for 5-7 years. This will depend on the individual characteristics of the organism, as well as on the general state of he alth. A complex operation, as mentioned earlier, will provide a more stable result.
Conference area
The division of the face into certain zones is explained by the mechanisms of aging, as well as an understanding of the entire subject of plastic surgery. Surgeons divide the face into a central and lateral part along a vertical conditional line that runs along the nose. According to this division, it immediately becomes clear why the vertical lift gives the most tangible results. The symptoms of aging are mainly visible in the medial area of the face, and the lateral facelift will be more effective only in relation to the lower area of the face and the lateral area. Of course, it will still reduce embossing changes.
In addition, the face is divided into four zones. Conditional lines will run horizontally, which is located at the level of the nostrils and eyebrows. Consider them separately.
Lower Zone
This should include the jaw line, neck, corners of the mouth, as well as the chin. Nasolabial folds will no longer enter this zone, as they are formed in the case of drooping of the skin of the cheeks, and correction is not available in this case.
Signs of aging will be: cheeks, a double chin, lowered corners of the mouth, too deep wrinkles, as well as folds located to the chin from the corner of the mouth. In the lower region, in most cases, excess fat accumulates, so the correction is combined with liposuction.
The mechanism of the endoscopic lower third of the face lift, reviews of which are presented below, will be as follows: an incision is initially made near the ear, after which the soft muscles of the cheeks are redistributed. In this case, the fleas must be removed, and the folds located near the mouth are smoothed out. No incisions are made under the chin for a facelift. In this case, you should pay attention to the fact that the lifting of the lower region will not affect the state of the middle zone of the face.
Mid zone
And what is an endoscopic mid-face lift? In general, the middle part is a space that is located at the level of the eyebrows and nostrils between two horizontal lines located at the level of the eyebrows and nostrils. This zone includes the lower eyelids and nasolabial folds, although the first ofthey are often included in a separate, fourth zone. Reviews of the endoscopic midface lift by experts suggest that this area is aging the most rapidly. Signs of aging will be the zygomatic sac, the relief between the ciliary edge and the drain furrow. Also an obvious sign of aging are the nasolabial folds, which form as overhangs.
What will patients say about endoscopic mid-face lift? Both patients and plastic surgeons say that the correction of this zone will provide the most pronounced rejuvenating effect. The procedure will be especially effective if it is combined with a lower eyelid lift. The whole operation takes about an hour and a half, if only the circular muscles of the face are affected. If a check-lift is performed, the operation will take about 3 hours.
What will the operation itself consist of? During the operation, incisions are made along the ciliary lower edge directly to the natural folds. When cut, the muscle is dissected and moved to its original position. The muscles are fixed with endotins (staples), after which the skin is stretched. The folds that have formed in the corners of the eyes are removed with a lift in the temporal region. The complexity of the procedure lies in the fact that here it is necessary to work with facial muscles. In case of their incorrect displacement, synchronous work will be disrupted, and this will provoke asymmetry and facial expressions from different sides of the face.
However, there is another optioncarrying out the operation. In this case, a lateral lift will be combined, in which incisions are made near the ear. A lift is also carried out through incisions localized on the oral mucosa. The method is safe as the nerve knots in the center of the cheeks will not be affected.
Upper Zone
It is customary to attribute the forehead and eyebrows to the upper zone. Signs of aging in this area include: drooping of the upper eyelid, drooping of the eyebrows, horizontal wrinkles and forehead creases. The drooping of the eyebrows and eyes will not necessarily be caused by age. This sign is quite successfully corrected.
How will the operation be carried out? The incisions are made along the border of hair growth. This is due to the fact that it is necessary to hide the roller formed during the tension of the skin, as well as the seams themselves. The drooping disappears, wrinkles are smoothed out, the height of the forehead increases. In reviews of the endoscopic lift of the upper third of the face, one can often find dissatisfaction, which is associated precisely with the increase in the forehead. If this is a problem for you, then you can use other techniques for performing the operation: sawtooth pattern, oblique slope, and much more.
Often a lift of the upper third of the face is combined with other types of correction. Exfoliation of the skin on the forehead opens up many opportunities for rejuvenation of not only the eyes, but also the middle, and even the lower zone of the face. Thus, the specialist can save the patient from wrinkles on the temples, change the shape of the nose, fill the cheekbones. In this case, notit will be necessary to make lateral incisions for lateral skin tightening. However, the result of such an operation is initially fixed not with sutures, but with titanium screws, which are removed after 3 weeks.
Eye socket
The upper part of the eye socket is usually attributed to the upper third of the face, and the lower one - to the middle. The operation is often carried out here, because the most pronounced signs of aging are recorded in the orbital area: folds and wrinkles in the corners, drooping of the upper eyelids, drooping and subversion of the lower eyelid. Most often, patients who are not ready for radical rejuvenation perform the correction of the eye sockets as a compromise.
During the operation, the surgeon works with different areas, which is disadvantageous. But blepharoplasty as a separate procedure is in high demand, which must be considered.
Rehabilitation and complications
Minimally invasive surgery is attractive because it requires a minimum amount of recovery time. In addition, there are very few complications associated with an endoscopic facelift. Reviews suggest that there may be complications, but on average the rehabilitation period is not more than a month.
During the first day after the operation, the patient must observe bed rest. But if the scale of the procedure was small, and if there were no complications, then the person can be discharged from the clinic on the same day.
For another week, the patient must wear a compression bandage that will holdtissue in the correct position. If liposuction was performed, then the bandage must be worn for another two weeks, but it will be worn at night. After a week, the stitches are removed, after which the bandage is removed.
In this case, you should pay attention to the fact that you can not wash your hair until the stitches are removed. Do not blow dry your hair.
Swelling, as well as hematomas, as a rule, disappear within two weeks. To speed up the process, you can use physiological procedures and ointments. But even against the background of existing hematomas, the result of the operation will be noticeable, as evidenced by the reviews and photos of the endoscopic facelift.
Experts at the same time recommend refusing to visit the bath, sauna, beach or solarium for 3-4 weeks. This also applies to physical activity. Swimming in the pool is only allowed one month after the operation.
This completes the rehabilitation of the endoscopic facelift. If any complications are observed, then some procedures are prescribed.
The most serious complications are: facial asymmetry, infection, damage to a major nerve. All this is the basis for additional surgical intervention.
Reviews
You can see the results of an endoscopic facelift in the before and after photos, which are available in our article. Feedback on this procedure is mostly positive. They are based only on the personal impressions of those patients who have already used this method of rejuvenation. However, the result is not alwaysexactly as the customer expected. A person who has encountered plastic surgery for the first time should definitely ask former patients and meet with a plastic surgeon who will show the results before and after an endoscopic facelift, advise which area to rejuvenate.
At what age is surgery allowed?
There are practically no age restrictions for correcting cosmetic imperfections. But for a rejuvenating procedure, age will matter. An endoscopic facelift involves excision of the skin and muscles. Relatively elastic tissue will independently take root in a new place, and connective tissues are formed quite quickly to secure this position. Unfortunately, in old age this will not be possible.
Skin with poor elasticity is not able to hold on, causing it to sag again. The same applies to muscle fibers. Thus, any endoscopic procedure after the age of 60 will be meaningless.
Rejuvenation of the middle zone of the face of this kind can be resorted to already at the age of 35. Women between the ages of 35 and 50 can safely undergo an endoscopic facelift.
As for the correction of the lower region of the face, it is done a little later, from 45 to 60 years. But in combination with liposuction, it can be done earlier if the jowls and double chin are caused by a large amount of fatty tissue.
Age limit forupper face surgery is 60 years old.
Blepharoplasty can be performed by patients between the ages of 35 and 60.
Conclusion
Endoscopic facelift is an excellent alternative to surgery that requires complete peeling of the skin. The endoscopic method is less traumatic, although its effectiveness is quite high. The only drawback is that this rejuvenation technique has some age restrictions.
