Endoscopic faceliftEndoscopic facelift

Facial

Endoscopic facelift

A minimal-incision lift of the midface using a tiny camera, suited to younger patients with early descent.

Quick Facts

  • Procedure time: Usually 1.5–3 hours
  • Anesthesia: General anesthesia
  • Clinic stay: Same-day discharge in most cases
  • Recovery: Around 1–2 weeks
  • Back to social life: About 2 weeks
  • Final result: Settles over 2–3 months
  • Price: Determined after consultation
  • Minimum age: From 18 years

What it is

An endoscopic facelift uses a small camera and fine instruments through tiny incisions, usually hidden in the hairline, to lift and reposition the deeper tissues of the midface and upper face. It avoids the longer incisions of a traditional lift.

Because it works through very small openings, it suits younger patients with early midface or cheek descent and minimal loose skin, where the goal is repositioning tissue rather than removing skin.

It is not a substitute for a full facelift in patients with significant skin laxity, since little or no skin is removed. All surgery carries risks, and results vary.

What it can improve

  • Early midface and cheek descent
  • Flattening of the cheeks
  • Early deepening of the folds beside the nose
  • Upper-face aging in younger patients

It does not remove significant loose skin or correct jowls and neck laxity, which need a standard lift. It does not improve skin surface quality.

Before the procedure

Before the procedure: Endoscopic facelift

You will receive instructions on medication, supplements, smoking, alcohol, and fasting. Your anatomy is assessed to confirm the endoscopic approach fits, since it suits early descent rather than loose skin.

During the procedure

During the procedure: Endoscopic facelift

Through small hidden incisions, a camera guides the release and repositioning of the deeper midface tissues, which are secured in a higher position. Little or no skin is removed.

After the procedure

After the procedure: Endoscopic facelift

Swelling and bruising are usually milder than a standard lift and ease over one to two weeks. The head is kept elevated. Most patients return to social activity within about two weeks.

Results: what it can and cannot achieve

A subtle lift of the midface and cheeks is achievable with minimal scarring. The technique cannot remove loose skin, cannot correct the jowls or neck, and cannot stop aging, so it suits earlier, milder change.

Possible risks and complications

An endoscopic facelift is generally safe, but all surgery carries risks. Possible risks include:

  • Bleeding or hematoma
  • Infection
  • Temporary or, rarely, permanent facial nerve weakness
  • Changes in sensation
  • Asymmetry or under-correction
  • Relapse of position over time
  • Small scars within the hairline

Smoking raises healing risk after any facial surgery, so smoking cessation is advised.

Who it suits

An endoscopic facelift may suit younger patients with early descent. It is especially suitable for patients who:

  • Have early midface or cheek descent
  • Have good skin quality with minimal loose skin
  • Want minimal scarring and a shorter recovery
  • Are in good general health with realistic expectations and do not smoke or can stop before and after surgery

It may not suit patients with significant loose skin, jowls, or neck laxity, who need a standard or deep plane lift. Your surgeon advises which approach fits.

Preserving what makes you, you

Real-time facial nerve monitoring during face and neck lift surgery

An extra layer of information. An extra layer of safety.

At Skulpturkliniken, your safety is our highest priority.

Advanced facial rejuvenation surgery requires precision, detailed anatomical knowledge and careful surgical judgement. During selected face and neck lift procedures, we add another layer of intraoperative awareness with NIM Vital™ facial nerve monitoring.

We are proud to be the first plastic surgery clinic in Sweden, and among a very small number of plastic surgery centres in Europe, to integrate NIM Vital™, an advanced intraoperative facial nerve monitoring system, into facial rejuvenation surgery.

Medtronic NIM Vital nerve monitoring system

What is NIM Vital™ facial nerve monitoring?

An additional sense during surgery

NIM Vital™ is an advanced intraoperative facial nerve monitoring system.

During face and neck lift surgery, small electrodes monitor electrical activity in facial muscles controlled by branches of the facial nerve. The system provides the surgeon with real-time visual and audible feedback while working within delicate facial anatomy.

When needed, nerve stimulation can also provide additional information when the identity of a structure is uncertain.

NIM Vital™ does not replace surgical expertise. It adds another layer of real-time information, complementing what the surgeon can see and feel with functional information during surgery.

Why facial nerve monitoring matters

Protecting expression. Supporting precision.

The facial nerve controls movements that are fundamental to expression, including smiling, closing the eyes, raising the eyebrows and moving the lips.

Advanced facelift techniques, like deep-plane and extended sub-SMAS facelift surgery, involve dissection within anatomical layers that may lie close to delicate facial nerve branches.

NIM Vital™ provides additional functional information while the operation is taking place, giving the surgeon:

  • Real-time information about facial muscle activity
  • Immediate feedback during delicate dissection
  • Additional information when anatomy is uncertain
  • An opportunity to reassess and adapt the surgical approach when needed
  • Greater awareness beyond what can be seen and felt alone

An extra layer of information. An extra layer of safety.

Why Skulpturkliniken uses NIM Vital™

Because safety comes from multiple layers working together.

Our approach combines:

  • Surgical experience and detailed anatomical knowledge
  • Individual surgical planning and clinical judgement
  • Meticulous technique and controlled dissection
  • Dedicated instruments for specific stages of surgery
  • Real-time facial nerve monitoring

NIM Vital™ adds another layer by providing functional information during the operation itself.

If meaningful technology can give our surgical team additional information that may contribute to safer, more controlled surgery, we believe our patients should benefit from it.

Because your safety is our highest priority.

Advanced technology. Expert judgement.

NIM Vital™ does not replace experience, anatomical knowledge or surgical judgement.

It provides another layer of information when every detail matters.

Natural harmony. Surgical excellence. Safety without compromise.

The science behind NIM Vital™

A 2026 prospective comparative study published in Plastic and Reconstructive Surgery evaluated Nerve Integrity Monitoring during extended sub-SMAS facelift surgery in 200 patients.

Temporary facial nerve weakness
0 %
With NIM
6 %
Without NIM
p = 0.029
Median sub-SMAS dissection time
32.86 min
With NIM
63.5 min
Without NIM
p < 0.001

The results are encouraging and support the potential role of intraoperative facial nerve monitoring as an additional tool during advanced facelift surgery. Study findings relate to the specific population and surgical protocol studied and do not guarantee an individual outcome.

Scientific reference: Wongkietkachorn A, Hah WWH, Wongkietkachorn N. Use of Nerve Integrity Monitoring (NIM) in Facelifts. Plastic and Reconstructive Surgery. Published online May 5, 2026. DOI: 10.1097/PRS.0000000000013167 · PMID: 42085580

Why Skulpturkliniken

Facial Surgery by Dr. Matteo Amoroso

Dr. Matteo Amoroso, MD, PhD, is a senior consultant in plastic surgery with extensive experience in both aesthetic and reconstructive surgery.

His background includes advanced international surgical training at several world-leading institutions and highly specialised surgical centres. Through fellowships in microsurgery and supermicrosurgery in Taiwan, Japan, and South Korea, he gained exceptional experience in complex tissue reconstruction, precision surgery, and advanced anatomical techniques.

Dr. Amoroso also worked for several years at Karolinska University Hospital, where he performed advanced microsurgical reconstruction of the head and neck. These complex procedures required meticulous planning, detailed anatomical knowledge, and a high level of technical precision.

This reconstructive background has profoundly shaped his approach to aesthetic facial surgery. His work is founded on a deep understanding of facial anatomy, careful surgical execution, patient safety, and the creation of natural-looking, harmonious results.

His philosophy is simple: reveal, do not reinvent. The purpose of facial surgery is not to change your identity, but to restore balance, definition, and freshness while preserving the individual characteristics that make your face uniquely yours.

A Refined and Natural Approach to Facial Rejuvenation

Endoscopic facelift surgery requires more than technical ability. It demands a comprehensive understanding of facial anatomy, refined aesthetic judgment, surgical precision, and respect for the patient’s natural identity.

At Skulpturkliniken, facelift surgery is performed by Dr. Matteo Amoroso using an individualised and anatomically based approach. His focus is on elegant, balanced results that restore facial definition and freshness without creating a tight, pulled, or overoperated appearance.

Successful facial rejuvenation requires the face to be considered as a whole. The cheeks, jawline, neck, eyelids, eyebrows, skin quality, and facial volume are closely connected and influence one another. Treating one area in isolation without considering the overall facial balance may produce an incomplete or disharmonious result.

For this reason, every facial procedure at Skulpturkliniken is planned around your individual anatomy, facial proportions, tissue quality, and personal goals. The intention is to enhance your strongest features, soften visible signs of ageing, and preserve what makes your face recognisably yours.

You should still look like yourself, only fresher, more defined, and more in harmony with how you feel.

A Relationship Built on Trust

Choosing a facial surgeon is an important and deeply personal decision. The relationship between you and your surgeon should be founded on open and transparent communication, realistic expectations, and strong mutual trust. This relationship is an essential part of a safe and successful surgical experience.

Dr. Amoroso’s approach is calm, honest, and attentive. From the first consultation, the focus is on understanding your concerns and helping you make a well-informed decision. He will explain what can realistically be achieved, which surgical technique may be most appropriate, and whether facial surgery is genuinely the right option for your anatomy and goals.

Each patient is personally guided through every stage of the process, from the initial consultation and surgical planning to the operation, recovery, and long-term follow-up. His aim is to achieve a result that feels natural, restores confidence, and contributes positively to the patient’s quality of life. Patients choose Dr. Amoroso not only because of his qualifications, international experience, reconstructive background, and refined eye for facial balance, but also because of the personal attention he gives to every individual. Complications, questions, or worries may arise. That’s part of being human but you will never face them alone. Whether it's a moment of concern, an unusual symptom, or simply the need to speak to someone, we are behind you.

What Does an endoscopic Facelift Cost?

The cost of an endoscopic facelift depends on the extent of the procedure, the technique used, anesthesia, surgical time, and whether additional procedures are combined, such as a neck lift, eyelid surgery, brow lift, facial fat grafting, or laser resurfacing.

Facial surgery requires precision, anatomical knowledge, experience, safety, and a refined aesthetic eye. Every procedure is individually planned, and the final price is discussed clearly during consultation after Dr. Matteo Amoroso has assessed your anatomy, goals, and surgical needs.

All surgical prices include one of the most extensive, transparent, and safe warranty programs. The price is designed to be comprehensive and includes everything related to the operation, from consultation and surgical planning to the procedure itself, compression garment when applicable, direct access to Dr. Matteo Amoroso and the medical team, and unlimited follow-up controls during the first year.

Safety and Trust

When considering facelift surgery, price should not be the only factor.

Safety is central to every step of the surgical journey. At Skulpturkliniken, safety isn't a luxury, it's the foundation of everything we do. We have created an environment where accessibility, personal connection, and full transparency are not privileges, but standards. Your Surgeon will be your closest point of contact. We understand that aesthetic surgery is a personal journey, sometimes even life-changing. We have built a model where you don't just meet a surgeon, you build a trust-based, continuous relationship with him. From your first consultation to long after your recovery, your surgeon is personally available to you. You will never find yourself speaking to a call center or an automated message. Need guidance, reassurance, or a second opinion, we will be there not as a favor, but as a part of our philosophy.

Everything Is Included - No Hidden Fees Or Additional Charges.

Your Treatment Includes:

Choosing Skulpturkliniken means choosing a complete experience with no compromises.

Our pricing is fully transparent and published openly on our website, what you see is what you pay, with no hidden fees or additional charges.

  • Extensive first consultation with Dr. Matteo Amoroso
  • Eventual additional preoperative consultation with Dr. Matteo Amoroso
  • Detailed assessment and individualized surgical planning
  • 3D simulation
  • Careful evaluation of whether surgery is the right option
  • Preoperative preparation guidance
  • Surgery in a safe and controlled surgical environment
  • Anesthesia
  • Compression garments
  • Unlimited postoperative follow-up visits during the first year
  • Direct access to the surgeon and nursing team
  • Digital access to your medical records through Adoreal®
  • Aesthetic care program
  • Patient insurance through Folksam
  • Long-term postoperative support
  • One of the most extensive, transparent, and safe warranty programs.

Frequently asked questions

In their words

Patients trust Skulpturkliniken for care.

★★★★★Patient

Just wanted to write and say the results have already been incredible. In addition to reduction in the mass area of my cheeks where the buccal fat was, as there was so much removed, it has drastically reduced the amount of weight pushing down on my jowl area - so, it has also dramatically improved my jawline. Even though it will still take a couple of weeks to really see the result, just wanted to touch base and let you know and say thanks!

★★★★★Google

I had upper and lower eyelid surgery at the clinic. Incredibly professional treatment and I can't praise Dr Matteo Amoroso enough. Genuine and warm care from start to finish. Impressed by Dr Amoroso's skill in creating a completely new natural result for my eyes. I wake up every day and am happy to see myself in the mirror ! Thanks also to all the staff during and after the operation , nice service and a very pleasant environment. 100% satisfied!

★★★★★Plastikoperationsforum

A really successful eyelid surgery

I contacted Matteo because of problems with overhanging eyelid skin. After a digital consultation where Matteo made a competent, trust-inspiring and reassuring impression, I booked surgery for the upper and lower eyelids on both eyes. On the day of the surgery I was well looked after by Matteo. He calmly and methodically explained how the whole process would go, from anaesthesia to healing to the finished result. Today I am very happy with the result. I have not had any problems in the form of pain or bleeding and I have greater wide-angle vision and look younger and fresher. I can warmly recommend Matteo as a surgeon.

Trust The Adoreal Experience

The Adoreal Platform gives you complete control of your aesthetic journey. You will be guided throughout your entire process, from consultation to recovery, ensuring an exceptional experience for you as a patient.

You are in control

You are in control

Complete access to your information, health records and previous journeys.

Unmatched predictability

Unmatched predictability

Manage your expectations with our questionnaire Silhouette, and visualize your ideal outcomes with 3D simulation.

Trusted step-by-step guide

Trusted step-by-step guide

From bookings to payments, logistics and after care, Adoreal will be your companion.

Empowered safety measures

Empowered safety measures

Complimentary health check, careful monitoring, and meticulous preparation.

Start Your Journey

Start Your Journey

Find out whether an endoscopic lift suits your stage of aging, with Dr. Matteo Amoroso.

A subtle midface lift with minimal scarring for the right candidate.