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In certain cases the endoscopic mid-facelift is possible when no skin excision is required. The endoscopic mid-facelift elevates the central cheek and jowl area, creating high cheekbones and a smooth jaw line with minimal hidden incisions. The endoscopic mid-facelift lifts the tissues at the deepest layer creating a youthful, natural look. It lifts the whole sagging cheek vertically to treat the fold next to the nose, and enhances and increases the volume in the cheeks. In a younger individual, where it does not require skin incision, this is an ideal procedure. This is also an excellent procedure to restore facial balance after a traditional facelift that has been unsatisfactory especially in the cheekbone, eye, and central face areas.