What to Expect During Your Endolift Procedure in London: Step-by-Step Guide

For patients seeking visible skin tightening and contouring without surgery, Endolift® laser technology offers an innovative, science-backed solution. Performed by a consultant dermatologist at Skinhorizon Clinic, Maida Vale, Endolift remodels collagen, melts excess fat, and sculpts facial contours — especially along the jawline, cheeks, and under-eyes. This step-by-step guide explains what to expect before, during, and after your Endolift procedure in London.

Understanding the Endolift® Procedure

Endolift® is a minimally invasive laser lift performed using the LASEmaR® 1500 device, which operates at a wavelength of 1470 nm. This wavelength selectively targets water and fat molecules in the dermis and subcutaneous layers, tightening collagen fibres and reducing unwanted fat. The energy is delivered via an ultra-thin optical fibre (as fine as a hair) that is inserted just beneath the skin.

Unlike traditional facelift surgery, Endolift requires no incisions or sutures, and recovery typically takes only a few days — making it ideal for those seeking a discreet rejuvenation procedure in Central London.

Step 1: Your Consultation and Assessment

Every Endolift journey at Skinhorizon Clinic begins with a comprehensive consultation with Dr Mohammad Ghazavi (MD, FRCP, MRCP Dermatology). During this appointment:

• Your facial anatomy, skin thickness, and collagen status are carefully evaluated.
• We discuss your aesthetic goals — whether jawline definition, under-eye tightening, or mid-face rejuvenation.
• Digital imaging or 3D skin analysis may be performed to document your baseline structure.
• A tailored plan is created, including laser energy parameters, treatment depth, and optional adjunctive therapies such as Profhilo or Polynucleotides.

Patients are encouraged to bring any previous treatment history or relevant medical information to ensure full safety and customisation.

Step 2: Preparing for Your Endolift Procedure

Preparation is straightforward, but proper pre-treatment guidance helps ensure optimal outcomes:

• Avoid blood-thinning medications or supplements for 3–5 days before the procedure (unless medically necessary).
• Discontinue active skincare such as retinoids or acids 48 hours prior.
• Arrive with clean skin, free of makeup or sunscreen.
• Hydrate well — healthy skin tissue responds better to laser energy.

Step 3: Local Anaesthetic and Comfort Measures

The Endolift® treatment is performed under local anaesthetic to ensure a comfortable experience. Only the treated zones (e.g. jawline, under-eyes, or cheeks) are numbed. No general anaesthesia or sedation is needed. Most patients describe a gentle tugging or warmth under the skin rather than pain.

Step 4: Laser Delivery — The Core of Endolift®

Once anaesthesia takes effect, the Endolift optical fibre — as thin as 200–300 microns — is introduced through a tiny entry point using a sterile technique. The laser emits short, controlled bursts of 1470 nm light, which:

• Stimulate collagen contraction and synthesis
• Remodel the fibroseptal network (the deep connective support structure)
• Gently melt excess subdermal fat to improve contour
• Enhance skin elasticity and firmness over time

Our consultant precisely moves the fibre in sweeping, fan-like motions to sculpt natural contours. The same procedure can be applied to the under-eye area using finer energy settings for delicate tissue tightening.

Step 5: Immediate Results and Aftercare

Immediately after the procedure, patients often notice mild tightening and lifting. Some redness or swelling may appear but typically resolves within 24–72 hours. Ice packs or cold compresses can be used to ease any post-treatment warmth.

To maximise recovery:

• Avoid strenuous activity for 24 hours.
• Do not apply makeup for the first day.
• Use gentle cleansers and broad-spectrum SPF daily.
• Hydrate the skin and avoid saunas or intense heat exposure.

Step 6: Collagen Regeneration and Long-Term Results

While early improvement is often visible within days, the most significant results appear gradually over the next 3–6 months as collagen remodels. The treated tissues continue tightening, giving a natural, refined contour without the stiffness or swelling associated with surgical procedures.

Results typically last 18–24 months, depending on individual ageing, lifestyle, and skin health. Maintenance can be performed annually or paired with treatments such as Exosome Therapy to support regeneration.

How Long Does the Endolift Procedure Take?

Most Endolift sessions take between 45 and 90 minutes, depending on the number of areas treated. Patients can return home immediately after, and many resume work or social activities within a day or two.

Safety and Technology at Skinhorizon Clinic

At Skinhorizon Clinic, all Endolift® procedures are performed using the LASEmaR® 1500 laser platform, a CE-marked, FDA-cleared system known for its precision and safety. The procedure is carried out by a consultant dermatologist in a CQC-registered medical environment, ensuring full clinical oversight and infection control compliance.

Why Choose Endolift® Over Other Skin Tightening Methods?

Endolift® uniquely targets both collagen and fat with pinpoint accuracy — offering deeper lifting than surface devices such as radiofrequency or HIFU. Unlike fillers or threads, it directly remodels the skin’s internal structure, delivering firmer, tighter, and more youthful contours without foreign materials.

Endolift® Recovery Timeline

Combining Endolift® with Complementary Procedures

For a complete rejuvenation strategy, Endolift can be combined with:

• Profhilo bio-remodelling — boosts hydration and elasticity.
• Polynucleotide injections — supports tissue regeneration.
• Exosome therapy — enhances recovery and collagen quality.
• LED phototherapy — speeds healing and reduces inflammation.

Frequently Asked Questions