In Manhattan, double board-certified facial plastic surgeon Dr. Konstantin Vasyukevich developed the endoscopic-assisted facelift to give his New York patients the benefits of the most recent advances in endoscopic surgical technology. The innovative procedure is designed to enhance the results of both traditional and minimally invasive facelifts.
What is an endoscopic-assisted facelift?
The use of wireless endoscopic technology enables surgeons to greatly improve the aesthetic results of a traditional facelift and shorten recovery time. It overcomes the limitations of conventional facelift techniques by enhancing visualization of areas farthest from the incisions using an endoscope.
This new method takes advantage of the surgical wireless endoscopic camera, which was recently developed. This camera transmits real-time images to a screen the surgeon can see during surgery, providing a superior visualization of the most remote areas of the surgical site.
In this video, watch Dr. Konstantin performing a facelift using the wireless endoscope, which minimizes the size of the incisions.
What are the advantages of endoscopic-assisted facelift?
The main advantage of endoscopic-assisted facelift is that it allows the surgeon to make shorter incisions without compromising the extent of the dissection. That means surgeons can achieve superior results in a minimally invasive fashion. Traditional facelift techniques rely on direct visualization to modify or reposition the deep facial tissue, requiring surgeons to make longer incisions to get a better view of the area located farthest from the incision. By providing more of a panorama of the musculature and connective tissue, the endoscope eliminates the need for longer cuts, leading to a better cosmetic outcome in both the improvement of facial contour and the appearance of scars.
Using endoscopic visualization also allows the surgeon to perform SMAS (sub-muscular aponeurotic system) elevation and repositioning in the most controlled and precise manner. In addition, the ability to see a magnified view of the remote parts of the surgical site helps achieve complete homeostasis, thus minimizing the bruising and swelling after the procedure.
Who can benefit from endoscopic facelift?
Any patient seeking facial rejuvenation can benefit from this procedure. Women and men of a younger age group would appreciate the shorter recovery time and reduced bruising and swelling. Patients with more advanced facial aging can benefit from a minimally invasive facelift procedure that produces the rejuvenating effect of a traditional full facelift.
What type of anesthesia is required for an endoscopic facelift?
An endoscopic facelift can be performed under many different forms of anesthesia. Even though more traditional general endotracheal anesthesia may be used, many patients today prefer lighter forms of anesthesia. Our preferred method is to use mild sedation combined with injection of a local anesthetic into the areas where Dr. Konstantin performs the facelift. This allows him to perform surgical procedures in the safest and most comfortable manner.
How long does the procedure take?
Performing a typical endoscopic-assisted facelift usually takes about 2 to 3 hours. The length of the procedure mostly depends on the extent of facial rejuvenation and patients' unique facial structures.
How much does it cost?
The cost of a facelift in NYC with Dr. Konstantin can range from $15,000 to $20,000, depending on the extent of rejuvenation and the type of anesthesia used for the procedure. There is no additional cost or extra charges for an endoscopic-assisted facelift.
How is an endoscopic-assisted facelift performed?
Dr. Konstantin typically begins the procedure by making a small incision in a natural skin crease right under the chin. He removes the excess fat and tightens the underlying muscle (platysma) to enhance the contour of the neck. The wireless endoscopic camera is used to visualize important neck structures and assist with muscle tightening and cauterization of small blood vessels. After achieving the desired neck contour, Dr. Konstantin makes inconspicuous facelift incisions and performs the SMAS tightening. Again, he uses the wireless endoscopic camera to provide superior visualization of the distal (or distant) facial structures and blood vessels.
At the end of the procedure — after the excess skin is trimmed and sutures are placed — he uses the endoscopic camera to perform additional inspection of the surgical site. This additional examination of the area of the face and neck tightening, after most sutures have been placed, helps ensure a complete hemostasis and confirm the correct placement of the SMAS-tightening sutures. This type of examination is unique for endoscopic-assisted facelifts and could not be done with any other conventional facelift techniques.
What areas can be improved with an endoscopic-assisted facelift?
Dr. Konstantin can target the same areas that are addressed using other facelift techniques. Because patients have unique concerns, Dr. Konstantin creates a customized surgical plan based on his examination of a patient's facial features, skin texture and elasticity, the amount and distribution of excess fat, and the degree of facial aging. Concerns often addressed include:
- Visible muscle bands in the neck
- Neck skin laxity (often combined with a neck lift)
- Excessive fullness under the chin
- Noticeable jowls
- Sagging of facial tissue
Even though the minimally invasive nature of an endoscopic-assisted facelift can reduce the downtime needed for recovery, it's important to follow all of Dr. Konstantin's postoperative instructions to ensure you heal as quickly as possible.
Dr. Konstantin is one of the leading facelift specialists in New York City and is sought by patients from throughout the world. To learn more about the endoscopic-assisted facelift, contact us using the online form to schedule a consultation, or call us at
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