Endolift Before & After London: Dramatic Lower Face & Smile Line Lift in Just Days

Endolift® is one of the most in-demand skin tightening and facial contouring procedures in London — especially for patients who want visible improvement to the lower face, jawline and smile lines without surgery. At Skinhorizon Clinic Maida Vale, Endolift is performed under consultant supervision using the 1470 nm LASEmaR® micro-fibre laser to contract collagen, tighten skin and reduce heaviness around the mouth and jaw.

This article will walk you through realistic Endolift before and after results, including what most patients see in the first few days, how results continue to build, and why so many people choose this over a traditional lower facelift.

What Is Endolift?

Endolift® is a minimally invasive laser procedure that works below the surface of the skin. A hair-thin laser fibre is guided into the sub-dermal layer to deliver controlled 1470 nm energy. This does three key things in the lower face:

• Contracts collagen fibres immediately for a subtle lifting effect
• Stimulates new collagen production for longer-term tightening
• Reduces local fat under the chin or around the jawline if required

Because we work from inside the skin — not from above the skin like a superficial laser — we can reshape the jawline, soften deep smile lines (nasolabial folds), and reduce lower face heaviness without surgical cutting.

Endolift Before & After: What Changes First?

Patients are often surprised how fast they notice a difference. The first visible improvements within the first few days typically include:

• Smile lines look softer: The heavy fold from nose to mouth appears less deep because the surrounding tissue tightens and lifts.
• Lower face looks lighter: That “pulled down / tired” look around the corners of the mouth often improves as the marionette area tightens.
• Jawline appears neater: Early jowling can look less obvious because collagen contraction creates more definition along the mandibular line.

This is why Endolift is so popular in London for lower face and peri-oral ageing (around the mouth). Patients don’t want a full surgical facelift at 40–55. They want the early droop corrected while still looking 100% like themselves.

How Fast Will I See Results?

We tell patients to think of Endolift results in two phases:

Days 1–7: “Wow, my lower face already looks tighter”

In the first few days, you may notice:

• Subtle lifting of the corner of the mouth
• Less shadowing and heaviness beside the chin
• Smile lines looking less carved-in
• A crisper edge where the jaw meets the neck

There can also be mild swelling or tightness during this period. In many cases this swelling actually makes the area look firmer and more sculpted early on — this is normal and expected. We advise patients to give the face 5–7 days before judging the “social downtime” outcome.

Weeks 4–12: “My face looks supported again”

This is when collagen remodelling starts to become visible. The skin looks denser, more held, less “tired” around the lower face. Smile lines and marionette lines (from mouth corners toward the chin) look less deep and less angry.

Months 3–6: “That’s my new jawline”

By the 3–6 month mark, the tighter contour along the jawline becomes your new baseline. This is why you see dramatic Endolift before and after photos online where patients not only look smoother around the mouth but also more defined along the jaw and under the chin.

Results continue to mature as collagen continues to rebuild. Many patients consider this the “silent facelift” stage — friends say “you look fresher”, not “you’ve had work done.”

Which Areas Respond Best to Endolift?

At Skinhorizon Clinic we most often use Endolift to improve:

• Smile lines / nasolabial folds: Softening the depth and curve of the fold from nose to mouth
• Marionette lines: Reducing the downturned look at the mouth corners
• Lower face heaviness: Tightening along the jawline to reduce early jowl formation
• Under-chin softness / early double chin: Laser-assisted fat remodelling + skin tightening
• Under-eye support: In appropriate cases Endolift can be used in the infraorbital region to gently contract tissue (consultant-led only)

We are especially known for jawline definition and smile line improvement in patients in their 40s and 50s who still want to look natural, not “filled”.

Is This the Same as a Facelift?

No — Endolift is not a surgical facelift. There is no scalpel, no general anaesthetic, and no stitches.

A traditional facelift surgically repositions deeper facial structures and removes excess skin. It is still the gold standard for significant laxity. But many London patients are not there yet. They just want the lower face to stop collapsing forward and down.

Endolift fits that gap. We call it a “pre-facelift intervention” or “lower face rescue”. It’s ideal for:

• Early jowls
• Mild skin laxity
• Heavy smile lines and marionette lines
• Blurring between jawline and neck

It’s also an option for patients who are not ready for surgery (or never want surgery) but still want visible tightening.

Your Endolift Journey at Skinhorizon Clinic

We take a consultant-led approach so every step is personalised and medically safe.

1. Consultation & facial mapping: You meet directly with Dr Ghazavi (Consultant Dermatologist) to assess lower face laxity, fat distribution, and collagen quality. This includes identifying where the heaviness is coming from — skin, fat, or both.
2. Treatment planning: We explain exactly where the micro-fibre laser will be inserted and what outcome is realistic for your face. If needed, we may combine Endolift with targeted fat remodelling under the chin or along the jowl to create a cleaner angle.
3. Local anaesthetic: Only a small amount of local anaesthetic is used in the entry points. No general anaesthetic. You are awake and comfortable throughout.
4. Endolift procedure: Using the 1470 nm LASEmaR® micro-fibre technology (our device is detailed here: Endolift medical technology), we deliver controlled sub-dermal laser energy to tighten and contract the tissue from within.
5. Immediate shaping: We assess symmetry and contour in clinic before you leave. You go home the same day.
6. Follow-up & optimisation: We review healing and collagen response. If beneficial, we may recommend supportive regenerative treatments such as Profhilo®, Polynucleotide Injections, or Exosome Therapy to improve skin texture and elasticity in the treated zones.

How Long Is Recovery After Endolift?

Most patients are able to resume day-to-day activity shortly after treatment. Realistically, you should allow a few days of social downtime in case of:

• Mild swelling in the lower face (often makes the jawline look tighter at first)
• Slight bruising at entry points (usually discreet)
• Sensation of internal tightness when smiling or chewing in the first 48–72 hours

Make-up can usually be worn after 24 hours unless advised otherwise. You will receive written aftercare including how to sleep, how to cleanse, and when to resume exercise.

How Long Do Endolift Results Last?

Because Endolift triggers your own collagen production, results are not “switched off” when a filler dissolves. Tightening typically continues to improve for up to 6 months. Many patients maintain visible jawline and peri-oral improvement for 12+ months, sometimes longer.

We sometimes perform a strategic “maintenance pass” in specific areas if we see early laxity reappearing — particularly around the marionette zone or under the chin.

Can Endolift Be Combined with Other Face Rejuvenation Treatments?

Yes — this is where a consultant-led clinic is essential. We build integrated plans that respect anatomy and avoid overfilling.

• Profhilo® Bio-Remodelling
  Boosts deep hydration and skin elasticity after tightening, especially in crepey lower face skin.
• Polynucleotide Injections
  Bio-regenerative support to improve skin repair, under-eye quality, and fine wrinkling without adding weight.
• Exosome Therapy
  Cellular recovery and collagen stimulation to optimise healing and glow.
• Microneedling (Dermapen 4®)
  For skin texture, pores and fine lines once any swelling has settled.
• Fractional CO₂ Laser Resurfacing
  Targets etched-in lines above the mouth (“barcode lines”) or long-standing creasing around the smile area.

Why Choose Skinhorizon Clinic for Endolift in London?

• Consultant Dermatologist–led care: All assessments and treatment planning are carried out by an experienced consultant, not a technician. This is critical for safety and outcomes.
• Focus on lower face and smile lines: We specialise in subtle, lower-face reshaping — not exaggerated volume. Our aim is “rested and defined,” not “filled.”
• Medical-grade Endolift platform: We use the 1470 nm LASEmaR® micro-fibre system described on our Endolift technology page, designed for sub-dermal fibre delivery and controlled collagen contraction.
• Aftercare and ongoing support: Your journey doesn’t end the day of treatment. We review, photograph, and optimise. You are medically followed up — this is not a “treat and disappear” clinic.
• Location & discretion: Based in Maida Vale (West / Central London), close to St John’s Wood, Paddington and Hampstead, Skinhorizon Clinic offers consultant-level facial rejuvenation in a private, clinical setting.

Frequently Asked Questions