Endoscopische Midfacelift in combinatie met Temporal Browlift

The ageing process of the face does not happen in a single direction, but across multiple layers and zones at the same time. As we age, the deep support structures of the face lose tension. The cheeks descend, the outer eye corner becomes more closed, the lateral eyebrow drops and the midface loses volume. This can result in a tired-looking gaze, flatter cheeks and deeper nasolabial folds.

An endoscopic midface lift combined with a temporal brow lift restores these changes by repositioning descended tissue back to a more youthful position. The procedure moves the tissue upward and inward, following the natural ageing vectors of the face.

Where appropriate, this treatment can be combined with:

  • an upper and/or lower eyelid procedure

  • lipofilling (fat grafting) to restore volume

  • laser treatment to improve skin texture, fine lines and pigmentation

The goal is a harmonious, natural facial rejuvenation in which shape, volume and skin quality are brought back into balance.

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At a glance

Doel

Herstel van wangen, ooghoek en laterale wenkbrauw

Indicatie

Vermoeide ogen, ingezakte wangen, diepe neus-lippenplooi

Techniek

Endoscopische lift met oplosbare fixatie

Aanvullingen

Ooglidcorrectie, lipofilling, laser

Verdoving

Algehele narcose of diepe sedatie

Duur

2–3 uur

Littekens

Verborgen in haarlijn en/of ooglid

Herstel

Sociaal herstel ± 10–14 dagen

Eindresultaat

3–4 maanden

Duurzaamheid

7–12 jaar

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More information

Click on a topic for more information

01 What is being corrected?

  • Descended cheeks

  • Hollow or tired-looking lower eyelids

  • Deep nasolabial folds

  • A “closed” outer eye corner

  • Drooping lateral eyebrow

  • Midface asymmetry

02 The technique

Through small incisions in the hairline and sometimes through the lower eyelid, the midfacial tissue is detached from the cheekbone. This includes the deep fat pads, muscle and connective tissue, and the supporting structures of the lower eyelid and cheek.

The entire midface complex is then lifted and fixed in place with dissolvable hooks and deep sutures. These ensure long-term stability while the body forms new supporting tissue. The hooks dissolve over time and cannot be felt.

At the same time, an endoscopic temporal brow lift is performed, harmoniously lifting the corner of the eye and lateral eyebrow.

03 Our experience and expertise

Eyelid surgery

Excess skin or fat in the upper and/or lower eyelids can be removed to further open the eyes.


Lipofilling

Your own fat is used to restore volume in the cheeks, under-eye area, temples or cheekbones. This adds softness and a more youthful contour.


Laser treatment

A laser can be added to improve fine lines, pigmentation and skin texture, refining the overall result.

Together, these techniques form a complete, integrated rejuvenation plan.

04 Nerve-related points of attention

In the midface, small nerve branches run to the eyelids and the facial expression muscles of the cheek, including the zygomaticus major and minor. During tissue release, these nerves can be temporarily irritated or bruised.

This can lead to:

  • temporarily slower or altered blinking

  • temporary asymmetry when smiling or speaking

  • temporary numbness or tingling sensation

In almost all cases, these symptoms fully resolve within weeks to months.

go to the FAQ

Frequently asked questions

Click on an questions to see the answer

  • What does an endoscopic midface lift do differently compared to fillers?

    Fillers add volume, but they do not reposition descended tissue back to its original position. An endoscopic midface lift repositions your own midface tissue, which can reduce under-eye hollows, restore cheek height and smooth the transition from the lower eyelid to the cheek.

  • Why combine a midface lift with a temporal brow lift?

    The midface, outer eye corner and lateral brow influence each other. Lifting the midface and the outer brow in the same vector often creates a more harmonious eye-area result and improved stability, without a “pulled” look.

  • Can my smile feel different temporarily after an endoscopic midface lift?

    Yes, it can. Small nerve branches in the midface supply the facial expression muscles (such as the zygomaticus). These can be temporarily irritated or bruised, which may make smiling or speaking feel asymmetrical for a short time. This almost always resolves fully within weeks to months.

  • Can my blinking be temporarily different after an endoscopic midface lift?

    Yes. Small nerve branches to the eyelid can be temporarily affected by swelling or tissue response. This usually resolves on its own as healing progresses.

  • Is permanent nerve damage possible with an endoscopic midface lift?

    It is rare. In most cases, any nerve-related changes are due to temporary bruising or irritation of small nerve branches and recover fully. Your individual risk profile is discussed during the consultation.

  • Will I feel the dissolvable fixation (“anchors”) after an endoscopic temporal brow lift?

    No. Fixation used in an endoscopic temporal brow lift is placed deep in the tissue. You may notice some tightness early on, but this typically settles. The material gradually dissolves on its own.

  • When will I see the final result after an endoscopic midface lift and endoscopic temporal brow lift?

    You may notice improvement early on, but the final result is usually assessed around 3–4 months, once swelling and tissue response have resolved and the tissues have fully settled.

  • Will I still look like me after an endoscopic midface lift combined with an endoscopic temporal brow lift?

    Yes. The goal of an endoscopic midface lift combined with an endoscopic temporal brow lift is not to change your face, but to create a fresher, calmer and more youthful appearance while preserving your natural features and expression.

  • Can an endoscopic midface lift be repeated later in life?

    Yes. Ageing continues, but you maintain a younger baseline. If needed, a repeat or additional correction can be safely considered in the future, depending on your anatomy and any previous procedures.

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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Steps of Preservé breast augmentation


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Your consultation

Would you like to know whether an endoscopic midface lift combined with a brow lift is the right fit for your face? During a personal consultation, we carefully assess where age-related changes are truly coming from — around the outer eye corner, within the midface, and in brow position — and whether this combined approach is the most suitable technique for your anatomy and skin quality.

During the consultation, you will receive:

  • an anatomical assessment of the midface and brow position (outer eye corner, cheek projection, support structures)

  • honest advice on whether an endoscopic midface lift + brow lift is sufficient, or whether 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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