Hailed as a visionary, Dr. Mark Prysi, a 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 vertical facial rejuvenation. It restores facial contours back to their original position of youth, preserving a person’s individuality. “My goal is always the same…to create a beautiful look that appears completely natural with no tell-tale signs.”
“I had a complimentary consultation and knew confidently that he was the surgeon I would go forward with....no other consultations necessary. [...] I am so thankful for the artistry and care Dr. Prysi demonstrates. I love the way I look....the compliments I receive and the confidence I feel.”
“The best cosmetic/plastic surgeons have an artistic eye. Dr. Prysi has this gift. I was thrilled with my results–no startled deer in the headlight look, no drawn to the side mouth. The outcome more than met my expectations. The office staff is welcoming, professional, and competent, and the surgery was performed without complications. If you are searching for a doctor who will help you achieve your “best” look, consult with Dr. Prysi before going elsewhere.”
“I can tell you my experience with Dr. Prysi has been overwhelmingly positive. I truly feel that having had an endoscopic face lift over ten years ago has brought me much satisfaction in the way I feel about myself. The entire staff is exceptionally friendly and is always there for you whenever you need your questions answered. ”
The medical art is a sacred trust.”- Hippocrates
The Endoscopic Mid-Facelift is one of the greatest technical evolutions in facial surgery. The most satisfying aspect of these techniques is dramatic facial rejuvenation, and preservation of the patient’s original youthful identity, obtained by complete repositioning of the soft tissues back to the original youthful position. The Endoscopic Composite Facelift has allowed the results obtained in the middle facial region to be naturally harmonized with that of the lower third of the face and neck.
Initially, facelift surgery treated only the skin. Advances in the procedure allowed for treating the deeper layer (SMAS) as well. Finally, there is a total approach – the Endoscopic Composite Facelift, which also treats the sub-muscular (deep) layer. The procedure allows the surgeon to treat areas that have traditionally been difficult: the central 1/3 or oval of the face, including the frown lines between the eyes, the brows, the folds adjacent to the nose and the lines around the mouth.
Skin is only a covering for the deep elements of the face, including the fat and muscle that project the aging changes. The endoscopic composite facelift elevates all levels including skin, fat and muscle. Most of the aging process pulls tissues in a downward direction A direct uplift is needed, which is not possible in traditional lifts. Dr. Prysi performs facelift surgery for patients all over Southwest Florida, with many of them traveling from outside the Naples and Fort Myers area.
Facial imbalance occurs frequently after standard facelifts. The skin is tighter, but the central face is untouched giving an “operated stretched look”. This is overcome with the Endoscopic Composite Facelift because it gives equal elevation of the cheeks, muscle, fat and skin restoring them to your natural position. The problem is that the public knows nothing about the ability of the Endoscopic Composite Facelift to correct unnatural-looking results because 99 percent of cosmetic surgeons are still using conventional techniques such as multiplanar or SMAS facelifts.
I consider each facial rejuvenation a unique artistic privilege.”
– Mark F. Prysi, M. D. F.A.C.S.
Standard facial rejuvenation techniques require that the skin hold up the other tissue and then it quickly relapses within six to ten months. The Endoscopic Composite Facelift gives longer lasting cosmetic results than traditional procedures. In the hands of an expert, the Endoscopic Composite Facelift can, on average, double the years of rejuvenation achieved through traditional lifts.
However, the ability to create a great-looking and natural facial rejuvenation goes beyond experience and surgical skill into the intangibles of artistry and artistic vision. The biggest difference in plastic surgeons is not their technical skill but artistic judgement- Dr. Prysi is blessed with a unique innate artistic ability. Dr. Prysi’s revolutionary facelift technique provides the most natural appearing results. For more information on the Endoscopic Composite Facelift, please call our office or attend one of our monthly Facial Rejuvenation Educational Seminars. Also, you can view multiple results in our Endoscopic Composite Facelift gallery.
An endoscopic composite facelift offers a less invasive option to treat sagging skin in many areas of the face and neck. Compared to a regular lift, this type of facelift has many benefits when it comes to issues with the center of the face. Endoscopic composite facelifts are offered in the Naples, FL area for those who have moderate sag, folds, or wrinkles in the face.
Endoscopic Face Lift candidates are those who are experiencing sagging in their cheeks, lines around their nose, and a downturned appearance to their lips. Patients in their 30s, 40s, or 50s who still have supple skin 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 Dr. Prysi can help to determine if this procedure can benefit you.
Check out this video to see Dr. Prysi on Fox News 4 to explain the Endoscopic Composite Facelift procedure. Two of our patients, husband and wife, both underwent a facelift and achieved outstanding results!
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, incisions are hidden inside the front of the ear and on the back of the ear, 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.
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.
See the above video for an animated explanation of the Endoscopic Composite Facelift.
How long does facelift last?
A facelift can give your face and neck a more youthful appearance. Facelift results are not permanent. With age, the facial and neck skin may begin to droop again. Some patients choose to have lower facelift after 5 years to tighten loosened skin. Quality skin care is important to maintain the result of surgery.
What is best age for facelift?
In most cases, a facelift works best for people in their 40s, 50s and 60s when signs of aging begin to become prevalent. Deep lines, wrinkle, fine lines, and sagging skin are the result of the aging process and can be best corrected through surgical techniques rather then non-surgical ones.
How long after a facelift can I exercise?
Dr. Prysi allows you to begin walking for exercise 2 weeks after surgery. You may resume golf, tennis and weight lifting 6 weeks after surgery.
How do you take care of your face after a facelift?
You will need to have a responsible adult take you home from the surgery center and stay with you the first 48 hours. Dr. Prysi encourages patients to bring their caregiver to the pre-operative appoinmtment so they will know the extent of care you will need. Most patients choose to hire professional nursing care for the first 24 hours.
How long is recovery from a facelift?
Dr. Prysi aks that you plan to be home for the first 7 days after a facelift. Most patients can resume work (depending on the type of work) within 14 days.
How do I reduce swelling in my face?
You may use iced compresses to the face after your surgery to reduce swelling. Avoid foods that are high in sodium. Sleeping with the head of your bed at 30 - 45 degrees will also help reduce swelling.
What is the difference between an endoscopic composite facelift and other facelifts?
In typical facelifts, many surgeons have their own technique. They are, at their root, simply variations of the same thing. Layers of the face are moved horizontally towards the ears to tighten loose skin and underlying tissues. If done incorrectly, it can flatten the face and give an unnatural appearance. Often, it is rectified by adding fat grafts to the cheek area. In contrast, endoscopic facelifts rejuvenate vertically up towards the eye, placing the tissues back to the original position of youth. The aging effect has caused the skin, muscle, and fat of the cheek to distend towards the corners of the mouth. With an endoscopic composite facelift, movement is made vertically back to its original position, resulting in fuller cheeks naturally. The artistry lies in the individualized result for each patient. The endoscopic composite facelift is also longer lasting because it does not rely on skin tension to hold the heavy tissues in position.
Why don't all surgeons do this procedure?
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 3-dimensional facial restoration. This intrinsic artistic visualization is only possessed by a few. It is impossible to restore your natural facial contour in the mid facial area without a vertical endoscopic mid facelift.
If you are ready to schedule a facelift consultation with Dr. Prysi to see if it is right for you, contact our Naples office today by calling 239.449.6489.
View Dr. Prysi’s “Before and After” gallery.
Artist. Surgeon. Innovator.
Mark F. Prysi, MD, FACS
Dr. Mark Prysi is a nationally recognized, board-certified Naples Plastic Surgeon. He is an internationally renowned expert in plastic surgery who has been consistently recognized as one of the “Best Plastic Surgeons in Southwest Florida” and one of the “Best Doctors in America.” He is the former Chief of Plastic surgery at Naples Day Surgery and past chairman of the Department of Plastic Surgery at Naples Community Hospital. Dr. Prysi’s innate surgical skills and artistic aesthetic judgment combined with over 25 years of experience makes all the difference.