Endoscopic Facelift & Neck Lift

The aging process of the face and neck does not only take place in the skin, but mainly in the deeper support layers. Over the years, the cheeks sag, the jawline fades, and the neck loses its firm contour. This leads to hamster cheeks, a less defined jawline, and a sagging neck.

The endoscopic facelift and neck lift restore these changes by repositioning the sagging tissue of the face and neck to a more youthful position. Unlike a classic facelift, no skin is removed or tightened. The correction takes place in the deep layers, leaving the face looking natural.

Because the skin is not cut away, this technique leaves no scars in front of the ear. The incisions are hidden in the hairy temple region and, in the case of a neck lift, behind the ear and possibly in the hair. This means that scars are usually inconspicuous.

This technique is only suitable for patients without significant excess skin. If there is a lot of excess skin, a classic facelift may be more appropriate from a medical and aesthetic point of view.

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What is corrected?

  • Sagging cheeks

  • Jowls

  • Loss of jawline definition

  • Loose or creased neck skin

  • Loss of facial contours

  • The transition from chin to neck


How does the endoscopic face lift work?

Through small incisions hidden in the hair-bearing temple area, the deep support layer (the SMAS and underlying structures) is released and repositioned upward. Using an endoscopic camera, the surgeon can accurately reposition the tissue and secure it with deep sutures and dissolvable fixation. Because no skin is removed, the skin naturally drapes over the new, more youthful contours.

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More information

Click on a topic for more information

01 Neck lift

When the neck is also corrected, the platysma muscle is tightened and any excess fat or sagging is treated. The incision is made behind the ear and can continue into the hairline, so that the scar remains virtually invisible.

02 Additional treatments

The endoscopic face lift and neck lift can be combined with:

Upper and lower eyelid surgery

To remove excess skin or treat under-eye bags.


Lipofilling (your own fat)

To restore volume in the cheeks, temples or under-eye area, creating a softer, more youthful appearance.


Laser resurfacing

To improve skin texture, fine lines and pigmentation. Recovery from the laser treatment takes place during the same period as recovery from the face lift, so no additional downtime is required.

Together, these treatments provide a complete facial rejuvenation: lift, volume and skin quality.

go to the FAQ

Frequently asked questions

Click on an questions to see the answer

  • Is an endoscopic face lift and neck lift the same as a classic face lift?

    No. An endoscopic face lift and neck lift primarily repositions the deeper support layers (such as the SMAS and underlying structures) through small incisions. In principle, skin is not excised; instead, it redrapes over the new contour.

  • Why is an endoscopic face lift and neck lift not suitable for everyone?

    With significant skin excess or markedly reduced skin elasticity, the skin may not adapt sufficiently to the lifted shape. In that situation, a classic face lift is often more appropriate because excess skin can be removed.

  • Will an endoscopic face lift and neck lift give me a “pulled” look?

    No. The goal of an endoscopic face lift and neck lift is anatomical repositioning of tissue, not tightening the skin. This generally maintains a natural appearance.

  • When will I see the result of an endoscopic face lift and neck lift?

    Most people are socially presentable again after about 2–3 weeks. The final result is usually assessed around 3 months, once swelling and tissue response have settled.

  • Can my facial expression change temporarily after an endoscopic face lift and neck lift?

    Yes, temporary asymmetry or stiffness can occur due to swelling and tissue response. In most cases, this resolves on its own over the following weeks to months.

  • Can an endoscopic face lift and neck lift be combined with eyelid surgery?

    Yes. Upper and/or lower eyelid surgery is often combined with an endoscopic face lift and neck lift to better align rejuvenation around the eyes with the mid and lower face.

  • Can volume be added during an endoscopic face lift and neck lift?

    Yes. Lipofilling (fat transfer) can be added to restore volume in areas such as the cheeks, temples, or under-eye region, creating a softer, more youthful contour.

  • Does laser resurfacing add value alongside an endoscopic face lift and neck lift?

    Yes. An endoscopic face lift and neck lift mainly improves position and contour, while laser resurfacing targets skin quality such as fine lines, texture, and pigmentation. Together, they can enhance the overall outcome.

  • Will I feel the sutures or dissolvable fixation after an endoscopic face lift and neck lift?

    Usually not. The fixation is placed deep. You may, however, notice temporary tightness or a pulling sensation during healing.

  • How long does the result of an endoscopic face lift and neck lift last?

    On average, 8–12 years. Ageing continues, but you typically maintain a younger baseline for many years.

  • Can I have fillers or Botox after an endoscopic face lift and neck lift?

    Yes. If desired, fillers or Botox can be used later for refinement, such as addressing dynamic lines or subtle volume adjustments. This is planned based on your recovery and goals.

Recovery calendar

Tijd

Wat u kunt verwachten

Dag 1–2

Zwelling en strak gevoel rond ogen en wangen

Dag 3–5

Blauwe plekken en maximale zwelling

Week 1

Hechtingen verwijderd, gezicht oogt rustiger

Week 2

Sociaal herstel meestal mogelijk

Week 3–4

Mimiek en gevoelszin normaliseren

Maand 2–3

Definitieve vorm en eindresultaat

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Your consultation

Would you like to know whether an endoscopic facelift and neck lift is the right fit for your face? During a personal consultation, we carefully assess where sagging and contour changes originate — in the cheeks, along the jawline and in the neck — and whether an endoscopic lift is the most suitable technique for your anatomy and skin quality.

During the consultation, you will receive:

  • an anatomical assessment of the face and neck (SMAS, jawline, and neck structures)

  • honest advice on whether an endoscopic facelift and neck lift is sufficient, or if a different approach would be more appropriate

  • a clear explanation of the technique, incisions, fixation, recovery and aftercare

  • realistic expectations supported by example results and before-and-after photography


Would you like to know what the best approach is in your case?

Then we warmly invite you for a personal consultation at Gooimeer Clinics.

BLOOMING GREY 673 kleur ©MaxMorePhoto 1

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Experiences

Very friendly, skilled plastic surgeon. Gives personal attention, listens to you, and takes time for you. The end result of a face and neck lift is natural and beautiful. If you have any questions after the treatment, you can always contact them and they will help you.

...

Professional, neat, honest! That's how I would describe Dr. Ahmed. I didn't experience any pain, and it already looks beautiful! The wounds are barely visible... and it's only been four weeks. I hesitated for years, but when I walked in here, I knew for sure! I'm going for it. I would advise everyone to go to Dr. Ahmed!

...

I hesitated for so long about this procedure, but I should have done it much earlier. Dr. Ahmed is knowledgeable, clear, and above all very honest about the procedure and the results. The operation is tough, and you really need to take the time to recover. Fortunately, I had little pain and am now very happy with the result. I would recommend Dr. Ahmed!

...

I came in for eyelid surgery and was advised to also have a forehead lift. Dr. Ahmed was right, and I am so happy with the results. Everything was explained clearly. The anesthesia was painful and unpleasant, but I had no pain afterwards. The results are beautiful, and I have received many positive comments from those around me.

I was treated kindly throughout the entire process and felt ...

Friendly and professional approach from all staff members. Comprehensive and careful information before and after the procedure. Dr. Ahmed did a wonderful job. I am very happy with the result.

...

For years, it had been my greatest wish to undergo this treatment, as I was unhappy with my appearance. After the treatment, I feel and look 20 years younger. I am so glad I had it done.

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