**4. Endoscopic midface lift**

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.

#### **4.1. Best candidates**

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.

#### **4.2. Technique**

**8.** General dissatisfaction with the cosmetic results, possibility of revision surgery, depres‐

Before undergoing brow lift surgery, we must provide pre-operative instructions; these may

**2.** Stop taking certain medications, herbs, and vitamins (including those that thin the blood)

**3.** Purchase all supplies that will be needed during recovery, including pain medication,

All men and women over the age of 40 see signs of aging in the face. The forehead is usually one of the first places where lines and wrinkles appear due to excessive muscle movement. Fortunately, brow lift surgery can do away with a number of cosmetic flaws on the upper third portion of the face. The many benefits of brow lift surgery include: Increase confidence with enhanced appearance, rejuvenated appearance, alleviation of tension in the forehead muscles, causes minimal side effects, fast recovery, excellent, long-lasting results (up to 10 years or more), incisions are well hidden and scarring is minimal, natural-looking results and few

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 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

sion or emotional mood changes may also develop.

bandages, and groceries, before the day of surgery

**6.** A family member or friend should drive the patient home.

**4.** Not eating or drinking anything after midnight the day of surgery

**5.** Not wearing make-up, contact lenses, or jewelry on the day of surgery

**1.** Stopping smoking four weeks before surgery

498 A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

**3.6. Preoperative instructions**

two weeks before surgery

**3.7. Benefits of brow lift surgery**

potential risks or complications.

**4. Endoscopic midface lift**

the lips, and restoring cheek fullness.

ideal for patients in their late thirties to early sixties.

**4.1. Best candidates**

include:

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 deeper tissues. The incisions are then closed with sutures (Figure 7).

**Figure 7.** Schematic endoscopic midface lift. Tiny incisions are inconspicuously placed within the hairline at the temple and inside of the mouth, thus allowing for no visible scarring. There is no visible scarring after an endoscopic midfacelift as very tiny incisions are inconspicuously placed inside of the mouth and within the hairline at the temple.

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. Patients can typically return to work within a week after an endoscopic mid-facelift. As with all types of surgery there are potential complications that can occur with an endoscopic mid-facelift.
