What is the Endoscopic Incisionless Facelift?
The Endoscopic Incisionless Facelift is a surgical procedure that uses two small hidden incisions and a rigid endoscope to access the deeper facial support layers—specifically, the SMAS plane. Using long, precise instruments, the surgeon performs a limited dissection and plication of the SMAS under direct visualization. Unlike skin-only or thread-based lifts, this approach relocates facial support structures, restoring contour with a natural vector of pull and minimal trauma.
How is this different from a traditional facelift?
While a traditional facelift involves large incisions around the ears and extensive skin and soft tissue dissection, the Endoscopic Incisionless Facelift offers a refined approach. The incisions are typically less than 1.5 cm and hidden within the hairline or natural creases, requiring only limited dissection. This translates to a shorter recovery period, less swelling and bruising, and virtually no visible scarring. Traditional facelifts are ideal for moderate to severe aging, but for younger patients with early laxity, this less invasive method provides the structure and lift they need—without the downtime of major surgery.
How does this differ from a PDS threadlift?
The key difference lies in the level of anatomic correction. PDS threadlifts use barbed sutures to superficially pull small sections of tissue upward, without actual repositioning of the SMAS layer. Over the course of 6 to 12 months, those threads dissolve and the tissue often returns to its original position. The Endoscopic Incisionless Facelift, on the other hand, gently undermines and lifts the SMAS layer using direct surgical access. It allows true elevation and anchoring of facial support structures, resulting in longer-lasting and more reliable results—especially for those seeking subtle but meaningful changes. While threadlifts simulate a lift, this technique actually performs one.
Who is the ideal candidate?
This procedure is best suited for men and women in their 30s and early 40s (some patient’s in their 20s) who are just starting to see the effects of gravity. Ideal candidates are those with mild jowling, early soft tissue descent, and good skin elasticity. It’s particularly well-matched for individuals who feel they’re too young or not ready for a full facelift but want something more durable and structural than what threads or injectables can offer. It’s not intended for patients with significant skin laxity, prominent neck bands, or heavy jowling—those individuals may require more comprehensive facial surgery.
Is this a true “incisionless” procedure?
The term “incisionless” here refers to the absence of traditional, long facelift incisions. This technique uses only two small access points, typically hidden in the hairline or in natural skin creases. These incisions are so discreet they are virtually undetectable once healed, making the procedure a compelling option for patients concerned about scarring or unnatural appearance.
Is this technique widely available?
No. This is a pioneering technique that has been developed and is currently offered exclusively by Dr. Moustafa Mourad in New York City. It combines Dr. Mourad’s expertise in head and neck endoscopic surgery with his advanced aesthetic facial surgery background, resulting in a hybrid procedure that marries the best of both worlds: surgical precision and cosmetic artistry.
Meet Dr. Moustafa Mourad
Dr. Moustafa Mourad is a double board-certified facial plastic and reconstructive surgeon based in New York City. He is internationally recognized for his innovation in aesthetic surgery and for pushing the boundaries of minimally invasive techniques. With a background in both facial cosmetic surgery and complex head and neck procedures, Dr. Mourad has earned a reputation for blending anatomical expertise with aesthetic sensibility. He is frequently sought out for his custom approach to facial rejuvenation and his ability to achieve natural, harmonious results without the stigma of looking “done.”
