Endoscopic Facelift Antalya | Op. Dr. Necdet Urhan

Periosteum (Subperiosteal Plane)

Endoscopic forehead and midface surgery dissects beneath the periosteum — lifting all overlying soft tissues as a single unit that can then be repositioned superiorly in a controlled, reproducible manner.

Frontalis and Forehead Muscles

The frontalis, corrugator supercilii and procerus muscles are directly visualised and selectively weakened or released under camera guidance — reducing dynamic forehead wrinkles and glabellar lines.

Temporal Retaining Ligament

Releasing the temporal retaining ligament under camera vision allows elevation of the lateral brow and temple soft tissue without the risk of inadvertent injury to underlying structures.

Midface and Malar Fat Pad

In endoscopic midface lifting, the descended malar fat pad and midface soft tissues are released subperiosteally and repositioned superolaterally over the zygomatic arch — restoring cheek convexity and improving the tear trough.

Supraorbital and Supratrochlear Nerves

Camera visualisation renders these critical sensory nerves directly visible during dissection — enabling reliable preservation that is significantly safer than "blind" conventional dissection.

Zygomatic Retaining Ligaments

Fibrous anchors at the malar region and lower eyelid-cheek junction (McGregor's Patch) are released under camera view, allowing midface mobility and repositioning without traction risk.

Endoscopic Brow and Forehead Lift (Most Common Application)

Three to five 0.5–1 cm incisions within the hairline allow endoscope and instruments to be inserted. Subperiosteal dissection releases the frontalis and brow depressors (corrugator supercilii, procerus). The brow is elevated and secured in a superolateral vector using fixation sutures or bioabsorbable devices. Compared to the coronal open approach, scarring is minimal and the hairline position is maintained.

Endoscopic Midface Lift

A temporal incision and a lower eyelid access point allow subperiosteal endoscopic dissection of the midface. The descended malar fat pad and soft tissues are repositioned superolaterally over the zygomatic arch and secured. This addresses cheek volume position, the tear trough and nasolabial fold depth at their structural origin.

Endoscopic + Open Facelift Combination

The endoscopic component addresses the upper face and midface with minimal scarring, while a conventional SMAS or mini facelift addresses the lower face and neck. This hybrid approach achieves comprehensive whole-face rejuvenation while maximising the minimal-scar advantage where it is achievable.

Forehead Wrinkles

Camera-guided frontalis release and muscle weakening significantly reduces horizontal forehead lines — addressing the dynamic component at its muscular source.

Brow Descent

Descended medial or lateral brow position is corrected by camera-guided subperiosteal release and superolateral repositioning — restoring a natural, youthful brow arch.

Glabellar (Frown) Lines

Corrugator supercilii and procerus muscles are directly visualised and weakened under camera guidance — reducing the vertical creases between the brows at their muscular origin.

Cheekbone Flattening and Tear Trough

Endoscopic midface lifting repositions the descended malar fat pad, restoring cheek convexity and improving the lower eyelid-cheek junction.

Early Temporal Sagging

Descent of the lateral brow and temple soft tissue can be corrected endoscopically without the open incision that would otherwise be required.

Midface-Origin Nasolabial Folds

Nasolabial folds caused by midface descent are improved as the malar fat pad is elevated — addressing the fold at its anatomical source rather than filling it from the outside.

Stage 1 — Pre-operative Assessment and Incision Planning

Forehead height, brow position and shape, hairline location, midface volume descent and skin laxity are assessed in detail. The decision between endoscopic alone or endoscopic combined with an open component is made. Incision points are marked.

Stage 2 — Anaesthesia

General anaesthesia or deep sedation. Dilute local anaesthetic with epinephrine is infiltrated to facilitate hydrodissection and reduce bleeding throughout the operative field.

Stage 3 — Small Incisions and Endoscope Placement

Three to five hairline incision points (0.5–1 cm) are made. The endoscope and working instruments are placed through separate portals. Subperiosteal dissection proceeds under camera guidance.

Stage 4 — Tissue Release, Muscle Work and Fixation

Target retaining ligaments are released; corrugator and procerus muscles are weakened. Elevated tissues are secured in their new position using endoscopic sutures, bioabsorbable fixation screws or specialised suspension devices.

Stage 5 — Closure and Recovery Start

Small incisions are closed with fine sutures; a light head wrap is applied. Most patients are discharged the same day or after one overnight stay. Detailed post-operative care instructions provided.

Upper Face and Forehead Ageing

Forehead wrinkles, glabellar lines and brow descent are the primary concerns; significant lower face sagging is not yet present.

Early to Moderate Facial Ageing

Patients with tissue descent but without significant skin excess — typically in the 35–55 age range — benefit most from endoscopic techniques.

Minimal Visible Scar Priority

Patients for whom any visible facial surgery scar is unacceptable — endoscopic tiny-incision approach is the most scar-sparing option available.

Hairline Preservation Priority

Patients with already-high foreheads for whom a coronal incision would further elevate the hairline — endoscopic technique preserves hairline position.

Faster Recovery Required

Active patients who need to return to professional or social life within 7–10 days — faster than the 10–14 days typical of open surgery.

No Significant Skin Excess

Endoscopic techniques reposition tissue but do not excise skin excess. Patients with heavy skin laxity require an open technique or combined approach — assessed at consultation.

Minimal Visible Scarring

Multiple tiny incisions hidden within the hairline — virtually undetectable once healed.

Faster Recovery

Less tissue trauma, less swelling and bruising — social return in 7–10 days rather than the 10–14 days of open facelift.

Direct Visualisation of Deep Structures

Camera magnification gives direct sight of nerves, ligaments and muscles — enabling safer, more precise correction than conventional "blind" dissection.

Hairline Position Preserved

Unlike the coronal open brow lift, endoscopic technique does not raise the hairline — important for patients with already-elevated foreheads.

Natural-Looking Outcome

Repositioning without skin over-pulling — the principle of natural rejuvenation is at the core of camera-guided subperiosteal techniques.

Combinable with Open Techniques

Endoscopic upper/midface component can be combined with open lower face and neck surgery in the same session for whole-face coverage.

Brow Lift (Endoscopic)

The most frequent endoscopic facelift application — forehead and brow rejuvenation through camera-guided hairline portals in a single, coordinated procedure. Brow Lift →

Temporal Lift

Lateral brow and temple soft tissue rejuvenation — frequently planned alongside endoscopic brow surgery through the same hairline portals. Temporal Lift →

Midface Lift

Endoscopic midface lifting restores cheek convexity and tear trough — frequently combined with endoscopic brow surgery for upper and midface coverage. Midface Lift →

Neck Lift Surgery

Endoscopic upper/midface is combined with open lower face and neck lift for whole-face coverage when the degree of lower face ageing warrants it. Neck Lift →

EBOPRAS Certification

Endoscopic surgery requires advanced instrumentation skills and deep anatomical knowledge. Op. Dr. Urhan holds European Board certification confirming these specialised competencies.

ISAPS Membership

Continuous access to the latest endoscopic technique developments through the International Society of Aesthetic Plastic Surgery.

Endoscopic Technology Infrastructure

High-definition endoscopic equipment enabling clear visualisation and precise instrumentation — the foundation of safe, high-quality endoscopic surgery.

Open and Endoscopic Technique Versatility

The correct technique is always patient-specific — endoscopic is not always the right choice. The ability to recommend and execute both approaches is fundamental to optimal outcomes.

International Patient Care — Muratpaşa, Antalya

Multilingual coordination, video consultation and remote post-op follow-up — a complete, supported journey for international patients travelling to Antalya for surgery.

Individualised Surgical Plan

Endoscopic, open or hybrid approach — each plan is built around the patient's specific anatomy, ageing pattern and goals, not a template.

Fixation Device Loosening

If fixation sutures or devices loosen before tissues have consolidated, partial descent may occur. Modern bioabsorbable fixation systems significantly reduce this risk.

Supraorbital Nerve Sensitivity

Temporary forehead numbness or tingling. Camera visualisation reduces this risk significantly compared to conventional dissection, but transient sensitivity remains possible.

Specialised Technique Dependency

Endoscopic facelift demands advanced training beyond standard facelift surgery. Safety and outcome quality are closely linked to surgeon experience and appropriate patient selection.

Limited Skin Correction Capacity

Significant skin excess cannot be adequately addressed endoscopically. Selecting this technique for a patient requiring skin excision leads to under-correction.

Brow Asymmetry

Unequal elevation of the two brow sides can occur. Intraoperative symmetry assessment — including sitting-position checks — minimises this risk.

Haematoma or Seroma

Fluid collection within the dissection space. Less common than with open surgery due to the limited dissection extent; managed conservatively or with drainage if needed.