Facial lifting surgery has come a long way. Today it is far safer and much less daunting than the brow lift and forehead lift surgery of the past, thanks to endoscopic techniques now used for brow and forehead lifts. Incisions are small, there is less pain and bruising, wounds heal quickly, and the results are clearly visible. Endotine, a modern medical device, is also used alongside these techniques to make facial lifting more effective. Endotine was developed to anchor loose, sagging skin so it sits firm, smooth and taut. It helps stimulate new collagen production, giving the skin natural firmness and elasticity, and it is absorbed by the body within 1-2 years. It also holds the lift longer than standard lifting with dissolvable threads. It is highly safe and approved by the FDA in the United States and Korea. Facial lifting with Endotine suits people whose skin is sagging and has lost elasticity. It effectively addresses forehead wrinkles, drooping brows, drooping outer eye corners, hooded upper eyelids, hidden eyelid creases, sagging cheeks, and loose skin across the face and neck.

After surgery, the face looks more youthful. Over time the skin will still change with age, depending on how each person cares for their skin. On average, results last 5 years or more, and for those who take good care of their skin, results may last as long as 10 years.

Lift 4 areas with 4 types of Endotine for 4 different concerns

1. Endotine Forehead “Endoscopic forehead and brow lift: small incisions, less pain, safe”
Endotine Forehead is an endoscopic forehead lift and brow lift procedure. Usually 2-5 devices are used per area (depending on each surgeon’s technique). It is highly safe and done through small incisions hidden along the hairline, so visible scarring is not a concern. A forehead lift tightens the forehead skin, raises the brows and makes the eyelid creases more defined. It suits people with drooping brows, a narrow brow-to-eye distance, drooping outer eye corners, hooded upper eyelids, hidden eyelid creases or forehead wrinkles. A forehead and brow lift is suited to the forehead area.

Advantages of facial lifting with Endotine Forehead
No scars on the face, as incisions are hidden in the upper hairline. The skin around the brows is lifted higher and firmer, ideal for those who want a forehead and brow lift or have drooping brows. The eyes look bigger and the eyelid creases more defined, ideal for those with drooping eyes. After a forehead lift, forehead lines fade and frown lines between the brows are corrected. Small incisions, fast healing, natural-looking results, and a very low chance of side effects from the incision.

2. Endotine Transbleph “Lift the brow tail, improve facial harmony, say goodbye to droopy eyes”
Using Endotine Transbleph to lift the brow tail is another technique that raises the outer end of the brow. It suits people with drooping brow tails, weak eyelid muscles or tired, sad-looking eyes. After lifting the brow tail with Endotine Transbleph, the brow tail sits higher and the eyes look bigger. It also uses the same incision as double eyelid surgery, so double eyelid surgery and a brow tail lift can be done together in one session.

Advantages of lifting the brow tail with Endotine Transbleph
Corrects sagging skin in people whose drooping outer eye corners make the eyes look sad. Increases the distance between the eyelid crease and the brow. Improves uneven brow position. The eyelid crease becomes more defined. The surgical scar is small and hidden behind the ear.

3. Endotine Midface “Lift the apple cheeks, add dimension to the face”
With age, sagging contributes to wrinkles on the face, especially around the apple cheeks, which can droop over time. Lifting the apple cheeks with Endotine Midface is another technique that lifts the midface. It suits people with deep nasolabial folds (smile lines), lifting the apple cheeks and giving the face more dimension without the need for a large-incision open facelift. The incisions are hidden in the hairline on both sides, so the chance of scarring is low, recovery is quick and safety is high.

Advantages of lifting the apple cheeks with Endotine Midface
Small surgical scars hidden at the temples. If the cheeks sag a lot, excess tissue in front of the ear may need to be trimmed. Results last for many years. Endotine Midface is absorbed by the body on its own.

4. Endotine Ribbon “A slimmer, firmer face, say goodbye to a double chin”
This facial lifting surgery uses Endotine Ribbon to lift the nasolabial folds, drooping mouth corners and neck. It uses an SMAS lift technique that tightens the SMAS layer directly, the layer that gives the most visible results in a facelift, so the facial skin becomes firm and taut again and looks younger. It suits people who want a facial lift, such as those with sagging cheeks or an undefined facial contour who want to refine the face shape into a V-line, and those who want to get rid of a double chin and have loose skin on the upper neck. This facelift uses small incisions, so the scars look neater than with facelift surgery of the past, and it can deliver better results. Usually 2 devices are used per area, depending on the doctor’s assessment.

Advantages of Endotine Ribbon
After a facelift, the facial skin is taut, firm and younger-looking, with semi-permanent results. Sagging skin under the eyes is 40% – 50% firmer. The cheek skin is lifted, the upper neck skin is lifted and firmed, and the facial contour is more clearly defined.

Why choose facial lifting at SLC Hospital

• Specialist surgeons experienced in facial surgery, with personalised assessment and design

• A Thai surgical hospital meeting Boutique Hospital standards
• Modern operating room technology

• 1:1 anaesthesiologist care during general anaesthesia
• Devices to prevent blood clots in general anaesthesia cases
• 1:1 care from registered nurses, 24 hours a day
• Personal Patient Advisor: your personal cosmetic surgery consultant
• Excellent service with care and follow-up after your facelift
• Trusted by SLC patients and well regarded by international patients

Advantages of brow lift and facelift surgery with Endotine

• Safer than traditional facelift surgery
• Few side effects
• Natural-looking results
• Endotine is absorbed by the body on its own, leaving no residue in the body afterwards
• Less pain, small incisions, no scars
• No long recovery, fast healing
• Clear, quick results that last 5-20 years Results vary from person to person

Who should not have brow lift surgery

• Women who are pregnant or breastfeeding
• People taking anticoagulant medication, or with blood clots or blood vessel disorders such as narrowed arteries
• People with a history of bleeding that is hard to stop
• People with underlying conditions that may affect surgery, such as diabetes, high blood pressure, heart disease or cancer, should consult a doctor first
• People with HIV infection

Preparing for surgery

• Tell us in advance about any drug allergies, underlying conditions, medications and supplements you currently take
• No food or water for at least 8 – 10 hours
• Stop smoking 2 weeks before surgery
• Stop taking aspirin, ibuprofen and vitamin E 2 weeks before surgery

Results after facial lifting with Endotine

• 6 months after surgery, the incision scars are very small and sit close to the ears and hairline
• Taut, firm, younger-looking facial skin with semi-permanent results
• Sagging skin under the eyes is 40% – 50% firmer
• The cheek skin is lifted
• The upper neck skin is lifted and firmed
• A more clearly defined facial contour

Aftercare

• Relieve pain with painkillers as prescribed by your doctor
• Apply cold compresses for swelling
• The face starts to settle 1 month after surgery
• Have your stitches removed on the date of your doctor’s appointment
• Follow your doctor’s instructions strictly

Q&A: Frequently asked questions
Q1: What age is suitable for an Endotine facelift?
An Endotine facelift can be done at many ages, but it shows the most visible results in older people with many wrinkles. For older people, the whole face can be lifted to look ten years younger, and even turning back the clock by around 30 years is possible. However, this depends on many factors and is not possible for everyone. The doctor will assess your skin condition before facelift surgery begins.

Q2: What is the difference between Endotine and a thread lift?
Endotine is a new technology for facelifts and facial lifting. Its appearance and procedure are similar to a thread lift, but the difference is that Endotine comes in several designs, depending on whether we want to lift the whole face or a particular part of it.

Q3: Does an Endotine facelift leave a lot of scarring?
The scars from an Endotine facelift are very small. The doctor makes an incision of only 0.5 cm.

Q4: How long is recovery after Endotine facelift surgery?
Because an Endotine facelift is a new technology that reduces injury and scarring, recovery does not take long either. You can return to normal life in just 3-4 days (results may vary from person to person).

Q5: What are the benefits of Endotine?
It lifts sagging skin, reduces wrinkles, and makes the face firm and fresh-looking, helping you look 5-10 years younger than your real age.

Q6: What is Endotine made of?
It is made of bio-plastic. Once the facelift is complete, Endotine breaks down on its own, leaving no residue in the body, while the results stay effective for 5-10 years (depending on the individual).

Q7: How does a brow lift with Endotine make the face look younger?
Besides lifting the face, the tines of Endotine help stimulate collagen and elastin production under the skin, so the facial skin is rejuvenated as it is lifted.

Endotine at SLC Hospital can be combined with Total 3D Facelift™
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