Endoscopic facial operations are usually performed on patients whose facial structures such as eyebrows, temples, and cheeks are displaced downwards, although the elasticity of the skin is not lost. On occasion, it can be performed for patients with weak structural midface support or  who complain of a tired appearance due to the lower location of the eye corners and eyebrows. This method alone cannot correct serious deformities in the neck and chin area. If there is also sagging in the neck, an additional procedure may be required.

Vorbereitung auf die Operation

Die ausführliche Untersuchung des Patienten ist der erste und wichtigste Schritt. Der allgemeine Zustand des Patienten, die Begleiterkrankungen, die eingenommenen Medikamente und die Frage, ob die Erwartungen realistisch sind, sind für uns die wichtigsten Punkte. Eine ausführliche Untersuchung zusammen mit dem Anästhesisten ist ein Muss für die präoperative Vorbereitung. Wenn der Patient raucht, wird empfohlen, 3 Wochen vorher damit aufzuhören, und Blutverdünner sollten vor dem festgelegten Zeitpunkt abgesetzt werden. Die präoperative Planung ist ein wichtiger Schritt in der Operationsvorbereitung.

Methode der Operation

As the operation is usually performed using a light camera, the incisions are small. Incisions can occur inside the scalp, sometimes in the mouth, and rarely in the lower eyelid.

In these procedures performed with endoscopy, eyebrows, temples, forehead, midface (cheek) can be intervened separately or in combination. These structures, which are sagging down due to gravity, pulled upwards.

Heilungsprozess

On average, the stitches are removed in 10 days, during which oedema on the face will be significantly regressed. Nevertheless, it can take months for the tissues to settle and oedema to fully pass. If necessary, some tapes can be used to reduce swelling. The pain is not very severe, usually at a level that can be relieved with painkillers. In early periods, there may be some numbness due to tension. It’s mostly temporary.  As with any surgery, there is a risk of complications during endoscopic facial surgery. Some of these may require revision surgery attempts.