Endoscopic Deep Plane Facelift: A Classified Approach

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Facial Rejuvenation

Background:

• Traditional facelifts often result in visible scarring, deterring patients and increasing demand for non-surgical options.
• Endoscopic facelifts offer scar concealment and deep plane dissection but often lack standardized patient selection and reproducible techniques.

Purpose of the Study:

• To present a systematic endoscopic facelift technique.
• Introduce a five-group classification system for tailored surgical planning and optimized aesthetic outcomes in endoscopic facelifts.

Main Methods:

• A single surgeon performed endoscopic facelifts on 393 patients (2020-2024).
• Patients were classified into five groups based on aging patterns and anatomical needs.
• The technique involved minimal undermining, vertical vector elevation, and cable suture suspension, with a minimum 12-month follow-up.

Main Results:

• No permanent nerve injuries were reported.
• A low revision rate of 4.8% (19 patients) was observed, primarily in early cases.

Conclusions:

• The vertical vector endoscopic facelift technique provides consistent, natural aesthetic results.
• This classification-based, minimally invasive approach is safe, reproducible, and effective.
• Future research will focus on objective assessments and patient-reported outcomes.