Endoscopic Mid Facelift FAQ

What is an endoscopic mid-facelift?
An endoscopic mid-facelift, also known as the anti-gravity lift, is a surgical procedure able to provide a natural, more youthful and refreshed appearance to the face by repositioning sagging cheeks, softening smile lines, reducing lower eye hollowness, elevating the corners of the lips, and restoring cheek fullness.

Who is the best candidate for an endoscopic mid-facelift? 
The best candidate for an endoscopic mid-facelift is a physically healthy man or woman who has realistic expectations and is interested in improving the appearance of sagging or sunken cheeks, smile lines, lower eye hollowness, and sagging corners of the lips. The procedure is ideal for patients in their late thirties to early sixties.

Where is the endoscopic mid-facelift procedure performed? 
An endoscopic mid-facelift may be performed in a surgeon’s office-based facility, an outpatient surgical center or a hospital.

What type of anesthesia is used for an endoscopic mid-facelift? 
General anesthesia is commonly used for an endoscopic mid-facelift.

How is the endoscopic mid-facelift procedure performed? 
After anesthesia is administered, tiny incisions are placed inconspicuously within the hairline at the temple and inside of the mouth. An endoscope is inserted into the incisions to help guide the surgeon as he or she elevates the fat pads of the cheeks as well as the fat and deeper tissues. The incisions are then closed with sutures.

Where are the incisions made for an endoscopic mid-facelift? 
Tiny incisions are inconspicuously placed within the hairline at the temple and inside of the mouth, thus allowing for no visible scarring.

Are there scars after an endoscopic mid-facelift? 
There is no visible scarring after an endoscopic mid-facelift as very tiny incisions are inconspicuously placed inside of the mouth and within the hairline at the temple.

Is an endoscopic mid-facelift a painful procedure? 
Discomfort after an endoscopic mid-facelift is typically minimal and easily controlled with pain medication.

What is the recovery like after an endoscopic mid-facelift? 
After an endoscopic mid-facelift, patients typically experience minimal discomfort which can easily be controlled with pain medication. Swelling and bruising may occur and typically fades within a few weeks. The head should be elevated for the first few days to help minimize swelling. Stitches are typically removed within seven days.

How much time will I need to take off from work after an endoscopic mid-facelift? 
Patients can typically return to work within a week after an endoscopic mid-facelift.

When are the stitches removed after an endoscopic mid-facelift? 
Stitches are typically removed within seven days after the procedure.

What are the risks or complications associated with an endoscopic mid-facelift?
As with all types of surgery there are potential complications that can occur with an endoscopic mid-facelift and these may include the following: adverse anesthesia reaction, bleeding, hematoma, infection, nerve injury, and the need for additional surgery.

Does insurance ever cover the cost of an endoscopic mid-facelift?
Insurance typically does not cover the cost of endoscopic mid-facelift procedures performed solely for cosmetic purposes.

Is it possible to get financing for my endoscopic mid-facelift? 
Financing is available for many plastic surgery procedures.

What should I look for in a surgeon to perform my endoscopic mid-facelift? 
It’s important that you carefully choose the surgeon to perform your endoscopic mid-facelift. First, make sure that the surgeon is certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) as this ensures that they’ve completed the proper training to safely conduct your procedure according ABFPRS standards. It’s also important to ask the following questions: Does the surgeon have privileges to perform surgery in an accredited hospital and, if so, which hospitals? How many endoscopic mid-facelifts has the surgeon performed? Where and how will the surgery be performed? Is the surgical facility accredited by a nation or state-recognized accrediting organization? What are the risks of your particular procedure?

What does it mean if my surgeon is certified by the ABFPRS? 
The ABFPRS credential signifies that a surgeon:

  • Has completed an approved residency in one of the two surgical specialties that include identifiable training in all aspects of facial plastic surgery (otolaryngology/head-and-neck surgery or plastic surgery, generally)
  • Is double boarded, having earned prior certification in one of those specialties through the American Board of Medical Specialties or the Royal College of Physicians and Surgeons in Canada
  • Has successfully completed a two-day examination
  • Has submitted for peer-review an acceptable record of at least two years’ clinical experience, including operative reports of a minimum 100 facial plastic surgeries
  • Holds proper licensure and subscribes to the ABFPRS Code of Ethics.


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