An endoscopic deep plane facelift lifts the mid and upper face through tiny hidden scalp incisions using a camera, while releasing the deep plane beneath the SMAS. The cheek and midface are repositioned vertically for a natural, unoperated, long-lasting result — with far smaller scars than a classic facelift.

  • 🎓 Plastic Surgery Specialist (2017)
  • 🏥 ISAPS & TSPRAS Member
  • ⭐ Google 5.0 / Trustpilot 4.8
  • 🌍 Patients from 30 countries
2–4hrsProcedure time
General±sed.Anesthesia
1nightHospital stay
7–10daysBack to social life
LastingyearsResult
HiddenscalpScars
Quick Answer

An endoscopic deep plane facelift repositions the sagging midface and brow vertically, through small hidden scalp incisions, by releasing the deep plane beneath the SMAS. It takes 2–4 hours under general anesthesia, leaves no long facial scar, and most patients return to social life in 7–10 days.

Key Takeaways30-second summary
  • It combines endoscopic access (tiny hidden incisions + camera) with a deep plane release for a natural vertical lift.
  • Best for a dropped midface, cheek flattening and deep nasolabial folds — and a descended brow/temple.
  • Scars are hidden in the hairline; there is no long scar in front of the ear.
  • General anesthesia, 2–4 hours; back to social life in 7–10 days.
  • Often combined with a deep plane facelift, neck lift or fat transfer.
  • The vertical, deep-plane lift looks natural and lasts for years.
At a GlanceDetails
ProcedureEndoscopic deep plane facelift — camera-assisted midface/upper-face lift
Duration2–4 hours
AnesthesiaGeneral (sometimes sedation + local)
Hospital stay1 night
Back to social life7–10 days; heavy activity ~3–4 weeks
ScarsHidden in the temple/scalp hairline
LongevityLasting; years of a lifted midface
Who it suitsMidface descent with good skin, in good health
Contents— 23 sections
Ministry-Approved Facility

Procedures are performed in accredited, approved operating rooms.

Experienced Specialist

A facial-rejuvenation-focused, ISAPS & TSPRAS-member surgeon.

End-to-End Coordination

One point of contact from pre-assessment to follow-up.

Multilingual & Private

Multilingual communication for international patients; your data is protected.

What Is an Endoscopic Deep Plane Facelift?

Short answer

It is a camera-assisted (endoscopic) lift of the mid and upper face in which the deep plane beneath the SMAS is released and the cheek and brow are repositioned vertically — through small hidden scalp incisions rather than a long facial incision.

As we age, the midface fat pads and cheek descend, flattening the cheek, deepening the nasolabial folds and pulling down the brow and temple. A skin-only or purely lower-face lift does not correct this vertical descent well.

The endoscopic deep plane approach solves it in two ways. First, a fine camera passed through 1–2 cm hidden incisions in the hairline lets the surgeon work precisely without a long scar. Second, the lift is done in the deep plane — the surgeon releases the retaining ligaments beneath the SMAS so the tissue can move freely upward, which is the natural direction of rejuvenation.

It pairs naturally with a deep plane facelift for the lower face and jawline, an endoscopic facelift for the forehead, or a deep plane neck lift for the neck.

1 · Temple ports2 · Deep-plane release3 · Vertical lift
Small hidden ports in the temple and scalp give the camera access; the deep plane is released and the midface is lifted vertically.

Videos: Op. Dr. Ali Çetinkaya Explains

Patient experience and more from our channel:

A real patient experience travelling to Istanbul.

Technique & Facial Layers

The essence of the operation is the plane in which the lift is done. Working beneath the SMAS — in the deep plane — is what makes the result natural and lasting:

SkinFatSMASMuscleBoneDeep plane released & lifted up
The lift works below the SMAS (deep plane); releasing the ligaments there lets the midface move vertically.
Endoscopic Deep Plane

Camera-assisted, hidden scalp incisions; vertical midface/upper-face lift. The most natural, scar-light option for midface descent.

Deep Plane (open)

For the lower face and jawline via a hidden pre-auricular incision; the gold standard for jowls.

Endoscopic (brow/temple)

Same key-hole access focused on the forehead and brow.

SMAS techniques

Fold or trim the SMAS; a classic option for moderate lower-face sagging.

Threads and fillers are temporary and cannot reposition a dropped midface; only a surgical deep-plane lift does that lastingly.

Visual · 30 seconds

Visual Technique Test: Your Face and the Right Approach

Choose the illustration closest to you and see the likely approach. This is a self-assessment, not a diagnosis.

👉 Tap the picture that looks most like you — the recommendation appears instantly.

Likely: endoscopic deep plane

Mild — endoscopic deep plane

Early midface descent with good skin is the ideal indication for an endoscopic deep plane lift: small scars, vertical lift, fast recovery.

Get a WhatsApp Assessment

Likely: endoscopic deep plane (± fat)

Moderate — endoscopic deep plane

With midface descent and deepening folds, the endoscopic deep plane lift repositions the cheek; volume can be refined with fat transfer.

Get a WhatsApp Assessment

Likely: deep plane + neck

Advanced — combined lift

When jowls and the neck also sag, the endoscopic midface lift is combined with a deep plane facelift and neck lift.

Get a WhatsApp Assessment

This tool is for information only; the exact technique and suitability are determined only by examination.

Interactive Tool · Live

Live Facelift Simulator: Sagging → Lifted

Drag the slider and watch a schematic face morph from a dropped midface to a lifted, natural contour. Fully private — no data is ever sent.

If the tool doesn’t load, open it here. This simulation is for information only and does not make a diagnosis — a definitive assessment is possible only in consultation.

Who Is a Good Candidate — and Who Is Not?

Suitable candidates

  • Midface descent, cheek flattening and deep nasolabial folds
  • A descended brow/temple with good skin quality
  • People who want minimal scars and a fast recovery
  • Non-smokers or those able to quit, with realistic goals

Situations to postpone/assess

  • Very advanced lower-face jowls and neck laxity (a classic deep plane may suit better)
  • Uncontrolled chronic illness or a bleeding disorder
  • Active smoking (wound-healing risk)
  • Expecting a change in the neck this technique does not target

An endoscopic deep plane facelift is about restoring the midface and brow; the neck and jawline are addressed with complementary procedures when needed.

Free · Instant

What Bothers You Most?

Select what troubles you most and see a likely approach. This is preliminary; the exact plan is made in consultation.

👉 Tap the option that fits you best — you’ll instantly see guidance and a WhatsApp link.

Good fit

Flat, dropped midface

A dropped cheek is the core indication: the endoscopic deep plane lift repositions the midface vertically for a natural, refreshed look.

Get a WhatsApp Assessment

Good fit

Deep nasolabial folds

Releasing the deep plane softens the nasolabial folds by lifting the cheek that creates them, rather than just filling the line.

Get a WhatsApp Assessment

Assess first

Heavy brow / upper face

A descended brow is well suited to endoscopic access; the exact plan (brow vs midface) is set on examination.

Get a WhatsApp Assessment

This tool is for information only; technique and suitability are determined only by examination.

How It Compares

TechniqueBest forScarsRecovery
Endoscopic deep planeMidface & brow descentHidden in hairline7–10 days
Deep plane faceliftLower face, jowls, jawlineHidden around the ear10–14 days
Endoscopic faceliftForehead & browHidden in hairline~1 week
Thread liftVery mild laxity (temporary)None2–3 days

In short: endoscopic deep plane for a dropped midface/brow with minimal scars; classic deep plane when the jowls and jawline dominate. Examination decides.

How Is It Performed? (Step by Step)

1–2

Hidden access

Through 1–2 cm incisions in the temple/scalp the endoscope is introduced — no long facial scar.

3–4

Deep-plane release

Under camera guidance the retaining ligaments are released beneath the SMAS so the midface can move.

5–6

Vertical lift & fixation

The cheek and brow are lifted vertically and fixed; small incisions are closed with hidden sutures.

Schematic illustration — not a real patient. Access points and technique are planned individually.
1

Planning and vectors

Midface descent and the vertical lift vector are marked; hidden incision points are chosen.
2

Anesthesia

General anesthesia (sometimes sedation + local) is administered.
3

Endoscopic access

The camera and fine instruments are introduced through hidden scalp/temple incisions.
4

Deep-plane release

The retaining ligaments beneath the SMAS are released so the tissue moves freely.
5

Vertical repositioning

The mid and upper face are lifted along the natural vertical vector and fixed.
6

Closure and dressing

The small incisions are closed with hidden sutures; a light dressing is applied; usually 1 night stay.

Recovery — Day by Day, Week by Week

0–3 days
Swelling and mild bruising around the temples/cheeks; rest with the head elevated and cold packs help.
1 week
Sutures in the hairline are removed; swelling eases and make-up can cover any bruising.
7–10 days
Most patients return to social life; the midface already looks lifted.
2–4 weeks
Gradual return to exercise; residual swelling settles.
3–6 months
Tissues settle and the final, natural result appears.

Recovery is usually faster than a full lower-face/neck facelift because the incisions are small.

Aftercare: What to Do and What to Avoid

✓ Do

  • Keep the head elevated and use cold packs in the first days
  • Keep scalp incisions clean and dry as advised
  • Attend follow-ups and take medication as directed
  • Protect healing skin from the sun

✕ Avoid

  • Smoking and alcohol (impair wound healing)
  • Heavy exercise, bending and straining for ~3–4 weeks
  • Sauna and very hot showers early on
  • Vigorous rubbing of the temples/cheeks early on

Possible Risks and Safety

In experienced hands it is safe; still, you should know the possibilities:

  • Swelling & bruising: expected around the midface/temples and settles within weeks.
  • Temporary sensation/expression change: usually recovers; permanent nerve injury is rare.
  • Hematoma: a blood collection that is drained if needed.
  • Scar issues: hairline incisions are hidden; rarely a small scar or hair thinning can occur.
  • Asymmetry: small side-to-side differences can occur and are minimised with careful technique.
  • Infection: rare; managed with sterile technique and follow-up.

Quitting smoking is the single most important risk-reducing step; blood thinners are adjusted with your doctor’s approval.

What to Check When Choosing a Surgeon

Deep-plane experience

A surgeon who works confidently in the deep plane — not just under the skin — gives a natural, lasting lift.

Endoscopic skill

Camera-assisted work needs specific training and equipment.

Approved operating room

The procedure should only be done in an accredited facility.

Realistic, vector-based planning

A vertical, natural goal — not a pulled look — drives long-term satisfaction.

Expected Change (Medical Illustration)

By law the surgeon cannot share real patient photos. The schematic below shows the typical change: a flat, dropped midface becomes a lifted, defined cheek with softer folds.

BEFORE
AFTER
Front view: after an endoscopic deep plane lift the cheek is elevated, the nasolabial fold softens and the midface looks refreshed. (Schematic medical illustration.)

Illustrations are for information; personal results vary with anatomy, skin quality and technique and are not guaranteed.

Why an Endoscopic Deep Plane Facelift in Istanbul?

Turkey is a leading destination for facial rejuvenation, with high surgical expertise, accredited facilities and well-organised, value-focused care.

High Surgical Expertise

Command of current techniques such as endoscopic and deep-plane surgery.

Value-Focused Process

A transparent journey covering surgery, stay, transfer and follow-up.

Approved Facilities

Ministry-approved, health-tourism-authorised operating rooms.

End-to-End Coordination

A multilingual team and a personal assistant.

Why Op. Dr. Ali Çetinkaya?

10+ yearsaesthetic surgery experience
ISAPS & TSPRASinternational & national membership
Deep planenatural, lasting rejuvenation
30 countriesinternational patient experience
ISAPSTSPRASMinistry of Health ApprovedAccredited Operating Room

Preparing for Surgery

Assessment

Skin quality, degree of midface descent, health and goals are assessed; the technique is chosen.

Smoking & medication

Smoking is stopped in advance where possible; blood thinners are adjusted with approval.

Tests

Necessary blood tests and an anesthesia review are done.

Scheduling

Suitable time off and accommodation are planned for recovery.

Questions to Ask at Your First Consultation

To decide well, it helps to ask these at your pre-assessment:

  • 1Is the endoscopic deep plane approach right for my face, or is another technique better?
  • 2Where exactly will the incisions be and how hidden are they?
  • 3Should the lower face, neck or brow be addressed in the same session?
  • 4What vertical lift can I realistically expect for my midface?
  • 5How long will recovery take and when can I return to social life?
  • 6What are the risks and the chance of temporary sensation/expression change?
  • 7In which approved facility and under what anesthesia is it performed?
  • 8How long will the result last?

Patients From Abroad / Out of Town

We host patients from 30 countries. You just come; we coordinate the rest.

1 · Remote pre-assessment

Initial planning via photos and an online consultation.

2 · Program & coordination

Accommodation, transfer and appointments are planned.

3 · Surgery & check-up

The procedure, 1 night stay and first check-up are completed on site.

4 · Remote follow-up

A check before you travel back, then multilingual follow-up.

Endoscopic Deep Plane Facelift Price (2026)

A firm price is given after examination, because scope, any added procedures (neck, brow, fat transfer) and clinic conditions vary per person. So you know what is included:

Usually included in the package

  • Surgeon, anesthesia and operating-room fee
  • 1 night stay, dressing and medication
  • Post-operative check-ups
  • Transfer and coordination for international patients
2026 price rangeGet a free quote for the current rangeGet a Personalized Price

Safety, the surgeon’s experience and follow-up should be your priority.

Glossary

Endoscope
A fine camera that lets the surgeon operate through small hidden incisions.
Deep plane
The layer beneath the SMAS where the retaining ligaments are released.
SMAS
The face’s support layer (muscle-fascia).
Midface
The cheek region between the eye and the mouth.
Retaining ligaments
Fibrous anchors that must be released for the tissue to move.
Nasolabial fold
The line from the side of the nose to the corner of the mouth.

Myths and Facts

Let us clear up common misconceptions with the facts:

✗ Myth: “Endoscopic” means only a small, weak lift.

✓ Fact: Combined with a deep-plane release it produces a powerful, vertical, lasting lift — with smaller scars.

✗ Myth: Any facelift leaves a long scar in front of the ear.

✓ Fact: The endoscopic deep plane approach uses hidden hairline incisions; there is no long facial scar.

✗ Myth: Fillers do the same thing.

✓ Fact: Fillers add volume but cannot reposition a dropped midface; only a lift does that.

✗ Myth: The result looks pulled.

✓ Fact: A vertical, deep-plane lift looks natural and rested, not wind-swept.

Frequently Asked Questions

How is an endoscopic deep plane facelift different from a classic facelift?
It combines two ideas: a tiny camera (endoscope) is passed through short hidden scalp incisions instead of the long incision in front of the ear, and the lift is performed in the deep plane — beneath the SMAS, releasing the retaining ligaments. The result is a vertical, very natural lift of the mid and upper face with minimal scars.
Which areas does it treat best?
The midface (cheek), under-eye/tear-trough area, deep nasolabial folds and a descended brow/temple. It is ideal when the main concern is a flattened, dropped midface rather than heavy jowls and neck.
Where are the incisions and will there be scars?
Incisions are 1–2 cm and hidden within the hair of the temple and scalp (sometimes a small hidden incision inside the mouth). There is no long scar in front of the ear.
How long does recovery take?
Most people return to social life in about 7–10 days — usually faster than a full lower-face/neck facelift, because the incisions are smaller. Final settling takes a few months.
Is the result natural and long-lasting?
Yes. Because the deep plane is released and repositioned vertically, the lift looks unoperated and typically lasts many years.
Can it be combined with a neck lift or lower facelift?
Yes. If the jawline and neck also sag, it is combined with a deep plane facelift or neck lift for a full-face result.
How long does the surgery take and what anesthesia is used?
Usually 2–4 hours under general anesthesia; often a 1-night stay.
Am I too young/old for it?
The endoscopic deep plane approach suits younger and middle-aged patients with midface descent and good skin; in very advanced sagging a classic deep plane facelift may be better. Examination decides.
Will my facial nerves be safe?
In experienced hands the deep plane is a safe, well-defined layer. A temporary change in sensation or expression can occur and settles; permanent injury is rare.
I’m coming from abroad — how does it work?
Send photos on WhatsApp for a remote plan; a few nights’ stay is advised for surgery and the first check-up, then follow-up is remote.

Get an Endoscopic Deep Plane Facelift Assessment

Share photos of your face on WhatsApp; let us assess your midface descent and whether this technique suits you.