Endoscopic Composite Facelift – Cape Coral, Bonita Springs & Fort Myers Florida

“The medical art is a sacred trust.” -Hippocrates

Dr. Mark Prysi is a leading Naples facial plastic surgeon who is nationally known for his achievements and advances in facelift surgery. Dr. Prysi’s goal is to produce superior results for his patients using his innovations and personal surgical artistry.

Hailed as a visionary, Dr. Mark Prysi, a board-certified Naples facelift specialist, has developed the endoscopic composite facelift, which combines an endoscopic mid-facelift and vertical neck lift for the first time, allowing for natural, comprehensive facial rejuvenation. This facial plastic surgery technique restores facial contours back to their original position, making patients’ face and neck appear more smooth and youthful.

The endoscopic mid-facelift is one of the greatest technical evolutions in facial surgery. The most satisfying aspect of these techniques is dramatic facelift results and reversal of the signs of aging in patients, obtained by complete repositioning of soft tissues back to their original youthful position. The endoscopic composite facelift expands the results obtained in the middle facial region to be naturally harmonized with that of the lower third of the face and neck.

A Preeminent Facelift Surgeon

Initially, facelift surgery treated only the skin. Advances in the procedure allowed for treating a deeper layer of tissue, the superficial musculoaponeurotic system (SMAS), as well. Finally, plastic surgeons developed a total approach: the endoscopic composite facelift, which also treats the sub-muscular layer. The procedure allows the surgeon to treat areas that have traditionally been difficult: the central third of the face, including frown lines between the eyes, the brows, the folds adjacent to the nose, and the lines around the mouth.

Skin is only the visible layer of the deep elements of the face, including the fat and muscle that change with age. The endoscopic composite facelift elevates all levels of facial tissue, including skin, fat, and muscle. When the aging process pulls tissues in a downward direction, a comprehensive approach is best to achieve long-lasting and dramatic results, which is not possible in traditional facelifts.

Facial imbalance occurs frequently after standard facelifts. Even though the skin appears tighter, the central face is untouched, giving an artificial look. Endoscopic composite facelift overcomes this hurdle because it gives equal elevation of the muscle, fat, and skin all over the face and neck, restoring a natural appearance.

Standard facial plastic surgery techniques rely on the skin to “hold up” the underlying tissue, which can quickly relapse within six to 10 months. In contrast, the endoscopic composite facelift gives longer-lasting cosmetic results than traditional procedures. In the hands of an expert, board-certified plastic surgeon like Dr. Prysi, the endoscopic composite facelift can, on average, double the years of rejuvenation achieved through traditional facelifts.

The ability to create great-looking and natural facelift results goes beyond experience and surgical skill into the intangibles of artistry and artistic vision. The biggest difference in facial plastic surgeons is not their technical skill but artistic judgement. Dr. Prysi is blessed with a unique artistic ability. His revolutionary facelift surgery technique provides the most natural appearing results.

“I consider each facial rejuvenation a unique artistic privilege.” 

– Mark F. Prysi, M. D. F.A.C.S.

Who is an Endoscopic Composite Facelift Candidate?

Endoscopic facelift candidates typically experience sagging skin in their cheeks, lines around their nose, and a downturned appearance to their lips. Patients in their 30s, 40s, or 50s who still have healthy skin elasticity often see the best results. It is important for a patient to have realistic expectations when it comes to the outcome of their surgical procedure. A consultation with board-certified plastic surgeon Dr. Prysi can help to determine if this procedure can benefit you.

The Endoscopic Composite Facelift Procedure

The two procedures in this composite cosmetic surgery are an endoscopic facelift and a neck lift. The combined approach delivers the results of two facelift surgeries at once, lessening the amount of recovery time required. An endoscopic composite facelift is performed under general anesthesia and takes several hours.

During an endoscopic facelift, three or more small incisions less than an inch long are made in discrete areas, such as above the hairline or behind the ear. Dr. Prysi then inserts a thin device equipped with a small camera (an endoscope) through the incision. This allows him to monitor the procedure on a screen as he works. Surgical instruments will then be used to remove excess fatty tissue and reshape the facial muscles, addressing sagging or drooping of the face.

For a neck lift, an incision is made underneath the chin, through which Dr. Prysi can remove excess skin and fat and tighten muscles. The incision or incisions are then closed with sutures and may be wrapped in surgical dressing.

Endoscopic Composite Facelift Recovery and Results

Dr. Prysi’s instructions may vary among facelift patients, but typically require about a week of downtime before going out in public again. After the surgery, you will experience swelling and bruising, especially around the incision sites, which will fade with time. Any pain or discomfort can be treated with over-the-counter pain medicine, or as prescribed by Dr. Prysi. Scars left by the incisions will be well hidden in the natural contours of your face, or within your hairline.

You will notice preliminary results immediately, although it can take up to several months before your tissues settle completely into place and full results of the face and neck lift are revealed. The results of an endoscopic composite facelift can last up to 10 years.

Comprehensive Facelift in Naples

For more information on the endoscopic composite facelift, please call our office or attend one of our monthly Facial Rejuvenation Educational Seminars. You can also view real patient results in our gallery. If you are ready to schedule a facelift consultation with Dr. Prysi, contact our Naples office today by calling 239-449-6489.

View Dr. Prysi’s Before and After gallery.

Frequently Asked Questions

What is the difference between an endoscopic composite facelift and other facelifts?

In typical facelifts in the United States, every surgeon uses different facelift procedures, but basically, they are variations of the same thing. Multiple layers of the face are moved horizontally towards the ears to tighten the loose skin and underlying tissues. The problem is, this flattens the face and gives it an unnatural appearance. Either the patient is left this way in a windswept pattern or attempts are made to rectify by adding fat grafts to cheek area, which gives an unnatural apple cheek appearance with a tight lower face.

In contact, endoscopic facelift surgery rejuvenates vertically up towards the eye, placing the tissues back where they were prior to the aging process. This is only accomplished with an endoscopic mid-facelift.

Everyone has all the fat needed for natural plastic surgery results, it is just not in the right place. The aging effect has caused the skin, muscle, and fat of the cheek to distend downward, towards the corners of the mouth. With an endoscopic composite facelift, instead of moving tissue toward the ears, it moves tissue vertically back to its original position, filling the cheeks out to their natural youthful contour.

In addition, there is artistry that lies in the individualized result for each patient. No patient needs anything added to the face to achieve beautiful results. The endoscopic composite facelift is also longer lasting than a traditional facelift because it does not rely on skin tension to hold the underlying tissues in position.

Why don’t all surgeons do this?

It is easier to tighten the skin towards the ears and remove the excess and then try to correct the flattened appearance by fat grafting. The only way to get a natural result, however, is to have the artistic judgement to realize all facial tissues need to go vertically towards the eye, naturally restoring a person’s facial personality.

Like an artist’s eye, the surgeon must inherently perceive this three-dimensional facial restoration. This intrinsic artistic visualization is not possessed by every plastic surgeon. It is impossible to restore your natural facial contour in the mid facial area without a vertical endoscopic facelift.

View Dr. Prysi’s “Before and After” gallery.