The central area of the face is the first anatomic and aesthetic unit affected by ageing. The standard facial lifting techniques are insufficient for this segment and entail high risks, since they can provide an artificial and non-natural look because of the excessive skin traction towards the periphery.
The three-dimensional face rejuvenation (in antero-posterior, vertical and supero-lateral planes) is provided by centro-facial endoscopic lifting (3D) with minimal incisions allowing the suspension of the face structures in their original position. Thus the cheeks, the eye and the mouth corner, the lower eye-lids (the "bags" or the rings under the eye) as well as the slight face asymmetries can be treated.
There is no ideal age for centro-facial endoscopic lifting. It is indicated to young people (30) as well as to older people (50-60) whose face has lost its roundness and freshness and expresses tiredness, tension, sorrow or sadness.
The operation is performed under venous anaesthesia and last for 2-3 hours. The access way is provided by the 4 incisions whose length is 1.5 – 3 cm, 2 of them located onto the skull skin and two of them in the mouth cavity, completely invisible after the surgery. 50% of the surgeries are performed under endoscopic control (temporal approach) and 50% with direct visualisation of the dissection (buccal approach).
Post-surgery, the forehead and the centre of the face shall be covered with white plaster for 3-4 days. Then, it shall be removed together with the non-resorptive threads. For 24 hours after the operation, 2 drain tubes shall be placed in the temple area to eliminate the post-surgery oedema. The hospitalisation lasts for 24 hours. A medical examination is then required after 1 week. After 1-2 weeks the social and professional activity can be resumed and within 1-2 months the insensibility of the face shall completely disappear.
With the help of the centro-facial endoscopic lifting not only the face rejuvenation is provided but also the features of the young people who begin to fade are refreshed and beautified and a general relaxed, calm and illuminating look is achieved.
