Endoscopic Facelift (Midface Lift)

While classic facelift surgeries primarily address sagging in the lower half of the face and the neck, a different approach is required for volume loss in the middle region of the face (cheeks and eye area).

Endoscopic Facelift, also known as Midface Lift, is a high-tech surgery performed with the help of high-resolution cameras (endoscopes) through millimetric holes entered from within the scalp, without making large incisions. Op. Dr. Bekir Can Gümüşlü applies this method especially for patients between the ages of 35-50 who do not have excessive skin sagging but whose face looks “fallen” and tired.

The greatest advantage of this method is that it leaves no visible scars on the face and offers a result that looks “volumized” rather than “pulled.”

Why Does the Midface Sag?

On a young face, the malar fat pads are positioned over the cheekbones. With aging and gravity, these fat pads slide downward toward the sides of the nose. Consequently:

• Hollows and bagging form under the eyes.

• The cheekbones flatten.

• The lines at the side of the nose (nasolabial folds) deepen.

• The face takes on a rectangular and tired expression.

The endoscopic facelift steps in at exactly this point. It moves these downward-slid tissues vertically upward, opposite to the direction of gravity, and fixes them back where they belong.

How is an Endoscopic Facelift Performed?

The surgery is performed under general anesthesia.

Incisionless Intervention

Small incisions of approximately 1-2 cm are made within the hair in the temple area.

Imaging via Camera

Thanks to endoscopic cameras, the surgeon advances safely by viewing the vascular and nerve structures beneath the skin on a large screen.

Tissue Repositioning

The soft tissues and fat pads separated from over the cheekbone are pulled upward as a single unit.

Fixation

The repositioned tissues are suspended to the bone structure or the strong temporal fascia with sutures.

During the same session, Endoscopic Brow Lift and Almond Eye Aesthetics (Canthopexy) are generally performed as well, rejuvenating the upper and middle face as a whole.

Recovery Process and Advantages

The biggest plus of endoscopic surgery is the absence of the long incisions found in classic methods.

• Edema: Since tissues are lifted from the bone, significant swelling (especially around the eyes) is normal for the first week. This swelling may cause concern, such as “Has my face become too wide?”, but it subsides within 3-4 weeks, leaving behind ideal, lifted cheeks.

• Sensation: There may be temporary numbness in the treated areas, which improves over time.

• Scar: Since the scars remain within the hair, the patient does not have to worry about scarring after surgery.

• Longevity: Because deep tissues are moved rather than just the skin, the results are quite long-lasting.

An endoscopic midface lift gives the patient back “the facial features they had when they were younger.” While a classic facelift “irons” the face, an endoscopic facelift provides “volume and form.”