If there is a problem with laxity of the neck, then an incision is placed only behind the earlobe (still no incisions visible in the front, no distortion of the ear cartilage and changing the hairline). The neck muscle (platysma muscle) will be tightened and excess skin redrapped and excised without causing a step-off in the posterior hairline. So you can still put your hair up without the tell tale signs of surgery.

The post-operative bruising and swelling is minimal, and the recovery is easier. Because there are no large incisions, the facial skin remains well vascularized. Laser Resurfacing can be performed at the same time as the endoscopic vertical facelift to maximize the surgical result.