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Endoscopic Facelift in Naples, Florida

Dr. Mark Prysi is a leading Naples plastic surgeon who is nationally known for his achievements and advances in facial rejuvenation surgery including brow lift, neck lift, and endoscopic mid facelift procedure. Dr. Prysi’s goal is to produce superior results for his patients using his innovations and personal surgical artistry.

An Artistic Approach to Facial Rejuvenation

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 youthful position, preserving each patient’s individuality without the signs of aging. “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 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

Hailed as a visionary, Dr. Mark Prysi, a Naples facelift specialist, has developed his own unique endoscopic composite facelift which combines an endoscopic mid-facelift and vertical neck lift, allowing for natural vertical facial rejuvenation. It restores facial contours back to their original youthful position, preserving each patient’s individuality without the signs of facial aging. “My goal is always the same…to create a beautiful look that appears completely natural with no tell-tale signs.”

The endoscopic mid-facelift is one of the greatest techniques for facial surgery when compared to other facial rejuvenation procedures. The most satisfying aspect of these techniques over a traditional facelift surgery is the dramatic, youth-restoring result that is possible, whilst also maintaining the patient’s original natural beauty. The endoscopic facelift procedure obtains these results by repositioning the soft tissues of the face back to their 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.

A Preeminent Facelift Surgeon

Initially, facial plastic surgery treated only the skin of the face, tightening the overlying dermis without addressing any of the underlying muscles or tissues. Advances in this cosmetic procedure allow for treating the deeper layers of muscles and tissue (SMAS), leading to longer-lasting and better-looking results. The endoscopic composite facelift offers a facelift surgery with a total approach, which treats the sub-muscular (deep) layer as well as the overlying skin. 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 structural 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 the underlying muscle. Most of the aging process pulls tissues in a downward direction, meaning a direct uplift is needed, as opposed to simply stretching the skin to the sides, which is the protocol for most 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 this technique gives equal elevation of the cheeks, muscle, fat, and skin, restoring them to your natural position.

I consider each facial rejuvenation a unique artistic privilege.” 


Standard facial rejuvenation techniques require that the skin hold up the other tissue, which means it quickly relapses within six to ten months after surgery. 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 facelifts.

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 judgment- Dr. Prysi has this 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. Also, you can view multiple results in our Endoscopic  Composite Facelift gallery.

What is an Endoscopic Composite Facelift?

An endoscopic composite facelift offers a minimally invasive procedure to treat loose skin in many areas of the face and neck. Compared to a mini facelift or even a regular lift, this type of facelift has many benefits when it comes to concerns with the center of the face. Endoscopic composite facelifts are offered in the Naples, FL area for those who have moderate sagging skin, folds, or wrinkles in the face.

Who is an Endoscopic Composite Facelift Candidate?

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 facelift 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 Endoscopic Composite Facelift Procedure

The two procedures in the endoscopic composite facelift surgery are an endoscopic midface lift and a vertical 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 in a certified surgery center 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 behind 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 midface.

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 facelift incisions are then closed with dissolvable sutures and may be wrapped in a surgical dressing.

Endoscopic Composite Facelift Recovery and Results

Dr. Prysi’s instructions may vary among facelift patients but the healing process typically requires 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. Facelift results of an endoscopic composite facelift can last up to 10 years for most patients.

See the above video for an animated explanation of the Endoscopic Composite Facelift.

Naturally restore your personal facial S curve. Be you again. Be your personal best.

Frequently Asked Questions

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.

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.

Does insurance cover the cost of an endoscopic facelift?

An endoscopic facelift is considered an elective procedure done for cosmetic purposes; therefore, insurance companies will not cover the cost of the procedure.

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.

How long is recovery from a facelift?

Dr. Prysi asks 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.

Who is not a candidate for an endoscopic facelift?

The best candidates for an endoscopic facelift are those with moderate facial imperfections due to excess fatty tissue or lax skin. Those with more pronounced signs of aging will need to combine a neck lift with the endoscopic face lift.

When should I get an endoscopic facelift?

An endoscopic facelift can be an effective solution for women and men in their 40s, 50s, or 60s, who are facing moderate signs of facial aging with moderate amounts of sagging skin. If under 50 an endoscopic facelift alone can be the ideal procedure.

Is an endoscopic facelift worth it?

Only the patients can decide for themselves if a surgical procedure is worth it. If you are looking to regain confidence and self-esteem by eliminating signs of aging on the face and restoring youth, an endoscopic facelift may be a great option for you.

How does an endoscopic facelift work?

A long, thin tube with a camera and light attached at the end is inserted under the skin of the face to view the underlying muscles and tissue structures. Equally long and thin instruments are then inserted under the skin to manipulate and tighten the tissue in a more youthful position.

Does an endoscopic facelift last longer than a standard facelift?

Both a standard facelift and endoscopic facelifts are projected to last around 10 years, but an endoscopic facelift has the possibility to last longer because the underlying muscles and tissues have been addressed too.

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 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.

Is endoscopic surgery painful?

You will be given anesthesia during surgery so you will not feel any discomfort or pain. The recovery does involve some slight swelling and bruising, but any pain can be managed with over-the-counter pain relief or prescriptions from your surgeon.

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.

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.

What is an endoscopic facelift?

An endoscopic facelift is a procedure to tighten and reshape the underlying facial muscles and tissue to achieve a rejuvenated appearance. Unlike a traditional facelift, an endoscopic facelift is performed through small incisions and most importantly achieves a vertical lift which is necessary for a natural look.

How long does an endoscopic facelift last?

The results of an endoscopic composite facelift can last over 10 years.

Are you awake for an endoscopic facelift?

General anesthesia or twilight anesthesia may be used during an endoscopic facelift. However, the patient will not be awake during the procedure.

The Facelift Procedure in Naples

If you are ready to schedule a Naples facelift consultation with Dr. Prysi to see if it is right for you, contact our office today by calling 239.449.6489.

Have questions?

Schedule a consultation to discuss any questions you may have and to learn more about the procedure you are interested in. Dr. Prysi can’t wait to meet with you!

Contact us

Artist. Surgeon. Innovator.

Mark F. Prysi, MD, FACS

Every facial surgery is a piece of art.

Dr. Mark Prysi is a nationally recognized, board-certified Plastic Surgeon, and expert in facelift procedures in Naples, FL. 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.

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In the Media

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