Endoscopic Face Lifting and Volume Restoration
The basis of facial aging has been clearly recognized in vertical descent of tissues and tissue atrophy caused by fat loss in the face. As shown in the picture descent occurs mainly in the superior part of face, involving the forehead, the brow and upper eyelid, and in lesser part in the cheek, while deflation occurs in the cheek and peri-oral area maximally. We approach facial rejuvenation by correcting tissue descent and fat loss with simultaneous lifting of the descended tissues through an endoscopic approach and volume restoration of the areas that underwent volume deflation, maximally in the inferior complex and the oral complex.
Vertical Endoscopic Lifting (MIVEL) allows correction of the natural vertical descent of the tissues under gravity.
The endoscopic approach is performed through small incisions hidden behind the hairline; the dissection is extended down to the cheek with direct visualization of the anatomy with the endoscope, minimizing the risks of surgical complications.
Since we come from above and not from behind (in front of the ear as in the traditional face lifting) the tissues can be repositioned vertically following the natural vector of their descent. The so-called MIVEL, Minimal Incisions Vertical Endoscopic Lifting, is the modern endoscopic face lifting that gives natural effects as opposed to the unnatural results of the traditional face lifting, minimizes scars and recovery time.
Surgical Tecnhique VIDEO
Under direct visualization with the MIVEL we dissect all the tissues that need to be lifted with minimal morbidity. Scar are invisible even just after the procedure. The procedure is performed under local anesthesia and sedation, there is no pain during or after the operation and the patient is discharged the same day.
After 3 days the patient can shower, including the hair, and after 10 days can resume regular activities.
Results of endoscopic face lifting
Patient 1: One month after endoscopic face lifting (MIVEL) lipofilling and blepharoplasty. By correcting the volume loss, and repositioning the descended tissues the result impacts the entire oval of the face giving natural and long lasting results.
Patient 2: Three months after endoscopic face lifting (MIVEL) lipofilling and blepharoplasty. By correcting the volume loss, and repositioning the descended tissues the result impacts the entire oval of the face giving natural and long lasting results.
When I hear prominent colleagues saying that endoscopic face lifting doesn’t work, I reply that my patients and I respectfully disagree!More pre and post examples
