Endolift®: the “lunch-time” laser lifting for the lower eyelids

Published: 27 December 2022
Abstract Views: 2600
PDF: 212
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.


Lasers and others energy-based devices have reached very high levels of results. Although the area of the lower eyelids is one of the most difficult to treat without surgery, Endolift® represents one of the safest and effective techniques that we can offer. Endolift® procedure was performed with a 200 microns second-generation bare fiber connected to an Italian 1470nm semiconductor laser to treat the lower eyelids of a 43-year-old patient with wrinkles and skin laxity. No anesthesia was required. The fiber was easily inserted through the skin, without any incisions, directly between the orbicularis oculi muscle and the septum. The total laser energy delivered was 80 J for each side. Post-procedure the patient immediately resumed her daily activities. Snap Back test was performed before (T0) and 6 months (T1) after the procedure; Fitzpatrick “wrinkle score” and “degree of elastosis” were assessed at T0 and T1; investigator Global Aesthetic Improvement scale (iGAIS), external investigator Global Aesthetic Improvement scale (eiGAIS) and participant Global Aesthetic Improvement scale (pGAIS) were also recorded at T1. The treatment has been completed with a session of a vascular 532nm diode laser for treating the fine telangiectasias, immediately before the Endolift® procedure. The lower eyelids have benefited from the possibility that the Endolift® has to remodel and retract the tissues, activate the collagen production, and stimulate the neo-angiogenesis. Results are evaluated at T1, when the skin laxity is reduced and superficial wrinkles are smoothed, resulting in an overall compacting of the skin which is visible and continues to progress over the following months. The only adverse events recorded were redness for 3 hours and a light swelling for 2 days. Snap Back test at T0 was severe and negative at T1; at T0 wrinkle score” was II and Fitzpatrick “degree of elastosis” was 7-9 but at T1 Fitzpatrick “wrinkle score” was I and Fitzpatrick “degree of elastosis” was 1-3; iGAIS, eiGAIS and pGAIS at T1 were all +3. Endolift® can currently be considered one of the leading non-surgical treatments for the laxity of lower eyelids.



PlumX Metrics


Download data is not yet available.


Dell'Avanzato R. Endolift and soft laser resurfacing. In: XV Jornadas Mediterraneas de confrontaciones terapeuticas en medicina y cirurgia cosmetica. May 4-6, 2007; Sitges, Spain
Dell’Avanzato R. Endolift®: the instantaneous laser lift with no downtime. Aesthetic Medicine (Chapter 15-1). Minerva Medica Editore.
Dell’Avanzato R, Bovani B. Endolift: laser a fibra ottica sottocutanea per il trattamento delle lassità cutanee. Body contouring (p. 73-82). OEO Editore.
Antiaging Lifting-Laser Tightening Skin. Facial rejuvenation with Laser. Available from: https://youtu.be/DelYM6k1uSA?list=PL804AD848350D5C35
Endolift® Clinical reference manual. Made in collaboration with Eufoton medical board. 2015.
Nilforoushzadeh MA, Fakhim T, Heidari-Kharaji M, et al. Efficacy evaluation of Endolift-based Subcision on acne scar treatment. J Cosmet Dermatol 2021;20:2579-82. DOI: https://doi.org/10.1111/jocd.13876
Nilforoushzadeh MA, Heidari-Kharaji M, Fakhim T, et al. Endolift laser an effective method for the lower eye bag treatment: a case series study. Lasers Med Sci 2022;37:3123-8. DOI: https://doi.org/10.1007/s10103-022-03571-7
Nilforoushzadeh MA, Fakhim T, Heidari-Kharaji M, et al. Endolift laser an effective treatment modality for forehead wrinkles and frown line. J Cosmet Dermatol 2022;21:2463-68. DOI: https://doi.org/10.1111/jocd.14884
Nilforoushzadeh MA, Heidari-Kharaji M, Fakhim T, et al. Endolift laser for jowl fat reduction: clinical evaluation and biometric measurement. Lasers Med Sci 2022;37:2397-2401. DOI: https://doi.org/10.1007/s10103-021-03494-9
Nilforoushzadeh MA, Heidari-Kharaji M, Behrangi E, et al. Effect of Endolift laser on upper eyelid and eyebrow ptosis treatment. J Cosmet Dermatol 2022;21:3380-5. DOI: https://doi.org/10.1111/jocd.14798

How to Cite

Dell’Avanzato, R. (2022). Endolift®: the “lunch-time” laser lifting for the lower eyelids. Laser Therapy, 29(2). https://doi.org/10.4081/ltj.2022.307