Endoscopic Facial Rejuvenation Study Reports High Patient Satisfaction

A longitudinal study of patients undergoing facial rejuvenation found that most nerve disturbances resolved over 12 months, while patient-reported satisfaction with appearance and surgical outcomes remained high.

Published in Plastic and Reconstructive Surgery – Global Open, the observational study of 35 patients compared 2 approaches selected according to patient preference: an upper two-thirds face lift using a minimal endoscopic approach with blepharoplasty or a full face lift incorporating deep superficial musculoaponeurotic system dissection.

Nerve Function and Patient Satisfaction After Facial Rejuvenation

Patients underwent follow-up for up to 12 months after surgery. Investigators performed standardized physical examinations to assess sensory nerve function and used the House-Brackmann classification to evaluate motor nerve function. Patient-reported satisfaction was assessed with the FACE-Q questionnaire.

Most postoperative sensory nerve disturbances resolved during follow-up, although 1 case persisted at 12 months. All motor nerve disturbances had resolved by the 12-month assessment. Other visible postoperative effects had also largely resolved, with 1 patient reporting persistent tightness and 1 case of alopecia remaining. The overall median FACE-Q Rasch score was 76 for satisfaction with facial appearance and 73 for satisfaction with surgical results.

The study was limited by its small sample of 35 patients, observational design, and patient-directed selection of surgical approach.

“Endoscopic facial surgery can be used for facial rejuvenation with few surgical complications,” the authors wrote. “Our results suggest that endoscopic facial surgery is safe and that patients are satisfied with this technique.”

Source

Chartier A, et al. Plastic and Reconstructive Surgery. 2026;14(8):p e8002. DOI: 10.1097/GOX.0000000000008002