An endoscopic facelift uses a slender camera to guide surgery through small incisions within the scalp. Dr. Khaled O. Alameddine uses this access to release deeper facial tissues, elevate them, and secure them in a higher position, with particular attention to the cheeks and midface. His endoscopic facelift in Coral Gables, Miami includes neck treatment, planned according to your examination.

With Dr. Khaled O. Alameddine in Coral Gables, Miami, an endoscopic facelift starts at $21,500 and includes neck treatment. The price includes the surgeon’s fee, anesthesia, facility fees, and two postoperative garments when needed. Additions such as a brow lift ($4,000) or upper eyelid surgery ($3,000) are priced as add-ons. The $250 surgeon consultation is credited toward your surgery if performed within 12 months.

Neither is better for everyone. An endoscopic facelift suits deeper tissue descent, especially in the cheeks and midface, when there is relatively little loose skin. When jowls and excess skin are more significant, a facelift that removes skin around the ear, such as Dr. Alameddine’s facelift with neck lift from $19,500, is often the better match. He examines your face and explains which approach fits, so you do not have to choose by name.

A good candidate usually has cheeks and midface tissues that have descended but relatively little excess skin, along with good skin quality and overall health. Hairline, facial structure, and the condition of the neck also matter. Age alone does not decide candidacy. Dr. Khaled O. Alameddine examines the face and neck together before recommending an endoscopic facelift or another approach.

In selected patients, yes. An endoscopic facelift places the facial-lifting incisions within hair-bearing scalp, avoiding incisions in front of the ears. Neck treatment may still need a small incision beneath the chin, and incisions behind the ears when excess neck skin must be removed. Every incision leaves a scar, and your hairline and healing influence how visible they are.

An endoscopic facelift is designed to lift cheeks that have descended, restore fullness high on the cheek, and improve the transition between the lower eyelid and cheek. Lifting the cheek can also soften the folds beside the nose and mouth and improve early jowling. Deeply etched lines, significant loose skin, and volume loss may need additional or different treatment, which Dr. Alameddine explains at your consultation.

Yes. Dr. Alameddine’s endoscopic facelift includes neck treatment in its starting price of $21,500. Depending on your examination, the neck plan may address skin, fat, muscle bands, or deeper structures, through a small incision beneath the chin and, when there is excess skin, incisions behind the ears.

Not necessarily. “Ponytail lift” and “mini facelift” are marketing names used for different operations by different surgeons, so the name does not tell you which tissues are treated, where the incisions are, or whether the neck is included. Dr. Alameddine explains those details for your proposed operation. His endoscopic facelift repositions deeper tissues through scalp incisions and includes neck treatment.

There is no single best age. Because it works best when tissues have descended without much loose skin, the endoscopic approach often suits people earlier in facial aging, but candidacy depends on anatomy rather than a birthday. Dr. Alameddine assesses tissue descent, skin quality, and the neck to decide whether it fits you.

That is the aim. Because the lift comes from repositioning deeper tissue rather than pulling skin, the approach is designed to avoid a tight or windswept look. A natural result can still be a noticeable improvement. Dr. Alameddine discusses what you want to change and what you want to preserve, and individual results vary.

It can improve early jowling as the cheek and surrounding tissues are repositioned. When jowls are heavier or accompanied by significant loose skin, a facelift that also removes skin, such as a facelift with neck lift, usually addresses them more completely. Dr. Alameddine explains which approach suits the degree of change in your jawline.

The facial access incisions are placed within the hair of the scalp. Neck treatment may add a small incision beneath the chin, and incisions behind the ears when excess skin is removed. These placements are chosen for concealment, but visibility depends on your hairline, hairstyle, and healing. Hair-up styling is worth discussing during your consultation.

Hair thinning or loss near scalp incisions is a known risk of an endoscopic facelift. It is often temporary, but it can be permanent in some patients. Incision planning takes your hairline and hair density into account, and Dr. Alameddine discusses this risk before surgery.

The neck plan follows the examination and may address skin, fat, muscle banding, or deeper structures. The submandibular glands are saliva-producing glands beneath the jaw and can contribute to fullness in selected patients. Dr. Alameddine may discuss gland removal when appropriate, but it is not routine, and it carries specific risks including bleeding, nerve injury, and saliva-related complications.

Yes, when they serve your goals. Added to an endoscopic facelift, a brow lift is $4,000, upper eyelid surgery $3,000, lower eyelid surgery $4,000, upper and lower eyelid surgery together $6,000, facial fat transfer $2,500, and lip lift $2,500. A chemical peel or laser treatment may address skin surface concerns that lifting does not correct.

The surgery is performed under anesthesia. Afterward, tightness, swelling, bruising, and soreness are expected, along with temporary numbness of the scalp or face. Your plan includes guidance for managing discomfort, and Dr. Alameddine reviews what to expect before surgery.

Many patients return to desk work around two to three weeks, although the extent of neck work, any added procedures, and your healing affect the timeline. Swelling continues to settle over the following months. Smaller access incisions do not automatically mean a shorter recovery, and exercise and travel resume according to Dr. Alameddine’s guidance.

An endoscopic facelift can provide improvement that lasts for years, but it does not stop aging. Longevity depends on skin and tissue quality, health, weight changes, and the treatment performed. Dr. Alameddine discusses realistic expectations for your anatomy rather than promising a fixed number of years.

Risks include bleeding, infection, unfavorable scarring, asymmetry, prolonged swelling, altered sensation, facial nerve injury, hair loss near incisions, and anesthesia-related complications. Neck work and combined procedures add their own considerations. The camera improves visualization but does not eliminate surgical risk, and Dr. Alameddine reviews your individual risks before surgery.

Dr. Khaled O. Alameddine performs endoscopic facelift surgery through his practice, Alameddine Plastic Surgery, at 2903 Salzedo Street, Coral Gables, FL 33134, near Miami. He completed his plastic and reconstructive surgery residency at Mayo Clinic and an aesthetic surgery fellowship at UT Southwestern. The office can be reached at (305) 501-0040. Surgery is performed in a QUAD A–accredited surgery center, and Dr. Alameddine speaks English, French, and Arabic.

Yes. A virtual consultation with Dr. Khaled O. Alameddine costs $250, credited toward your surgery if performed within 12 months, and lets you discuss your goals before arranging travel. An in-person examination is needed before surgery. Belma can recommend accommodation, transportation, and outside nursing options, and your recommended stay depends on the operation and recovery.