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The newest types of plastic surgery are nothing like the older images that we have all seen on television. No longer is the operating room filled with blood and open cuts - today surgeons can use advanced techniques and instruments that eliminate some of the more unpleasant parts of surgery. A traditional facelift requires that the surgeon makes one long cut along the hairline of the patient - so that the doctor can literally pull the skin down off of the face and reach the connective tissue, fat and muscle underneath the skin. This is the way that a facelift must be performed in most cases. There are other techniques that are more recent than this - they allow the surgeons to do some of the facelift in steps. This means that there can be smaller cuts in the skin that are made, meaning smaller scars. There are also “mini” facelifts that work on specific parts of the face that need improvement. No matter which of these facelifts is performed, you can count on one thing to still be present - blood. There will still be blood loss, and there will still be at least a bit of extensive cutting into the skin in order to reach underlying tissues. While doctors are trained for this, there are other ways. The endoscopic facelift is being developed as we speak, so that doctors can perform both full facelifts and mini facelifts without the extensive cutting required today. This facelift is not like facelifts performed today in that it uses instruments that are placed under the skin through tiny cuts. These instruments, along with a camera so that the doctor can see what he or she is doing, perform the work that would normally be done during a facelift. They manipulate and cut the underlying tissues, suturing them in place. Less blood can be lost, and less scarring takes place due to smaller cuts. The endoscopic facelift is far from being perfect. It does not work in every instance - and not all plastic surgeons are trained in endoscopic technique. You will need to interview your surgeon, and call surgical offices before finding a surgeon who knows how to perform endoscopic facelifts. You will also have to be prepared for the fact that your surgeon may need to cut you open and switch to a regular facelift in the middle of the procedure - endoscopic facelifts are far from perfect, and sometimes the tools do not work and you will need to have a regular facelift to assure success. While not yet a perfect or fully utilized way to get a facelift, the endoscopic facelift is still a promising new technique. If you were told that you couldn’t get a facelift due to scarring issues, or a bleeding issue, this technique may make it so that you will be able to get that facelift after all.