Every Endolift treatment is planned around your anatomy, laxity and goals
Endolift suits patients with mild to moderate skin laxity who want a visible lift without surgery, stitches or general anaesthetic. However, it does not replace a surgical facelift in cases of severe laxity or significant tissue excess.
In practice, patients who respond well share a common profile. They have good baseline skin quality, realistic expectations and want a gradual, natural improvement rather than an immediate dramatic change. For many, the absence of surgery is the deciding factor.
Endolift uses a hair-thin optical fibre to deliver controlled thermal energy beneath the skin. The fibre enters through a single tiny point: no incisions or stitches needed. From there, it emits laser energy that tightens the surrounding tissue, stimulates new collagen and, where relevant, selectively reduces localised fat deposits such as jowls or under-chin fullness.
In practice, the treatment works at two levels simultaneously. At the surface level, immediate tissue contraction produces a visible tightening effect. At a deeper level, a sustained collagen remodelling response continues to improve the skin over three to six months. As a result, most patients notice the clearest improvement between two and four months post-treatment, with results typically lasting two to three years.
Dr De Souza introduces a fine optical fibre, approximately 300 microns in diameter, beneath the skin through a single entry point. Before this, he applies local anaesthetic to numb the target area fully. As the fibre moves through the tissue, it delivers a precise dose of laser energy at a controlled depth.
In areas where tightening is the goal, the laser causes immediate collagen contraction and triggers a longer-term collagen-building response. Meanwhile, in areas with localised fat, such as jowls or under-chin, the energy targets the fat deposit while tightening the overlying skin at the same time. Overall, most patients notice both an immediate and a progressive improvement over the following months.
Before treatment begins, Dr De Souza assesses your anatomy, skin quality, laxity and goals. He then maps the treatment areas and discusses the expected outcome in detail. Additionally, Dr De Souza issues your local anaesthetic prescription at this point so you can apply it at home approximately one hour beforehand.
Next, Dr De Souza applies a topical and/or injectable local anaesthetic to the treatment area to ensure you feel only minimal pressure during the procedure. Most patients describe the treatment as entirely comfortable once the anaesthetic has taken effect.
Once the area is fully numb, Dr De Souza introduces the hair-thin optical fibre beneath the skin through a single entry point, meaning no incisions are needed. From there, he guides the fibre carefully into position within the target tissue.
As the fibre moves through the tissue, it delivers controlled bursts of laser energy. The energy causes immediate tissue contraction and triggers the collagen-building response that continues to improve the skin over the following three to six months.
Once treatment is complete, Dr De Souza covers the entry point with a sterile dressing: no stitches needed. Overall, the session takes 60 to 90 minutes depending on the number of areas treated.
Before you leave, Dr De Souza gives you detailed aftercare guidance. Following treatment, you can expect mild swelling and tenderness over the next four to seven days, both manageable without prescription medication. Dr De Souza then schedules a follow-up assessment for six to eight weeks post-treatment to review your progress and outcome.
Endolift produces a progressive improvement over three to six months as the collagen response develops. The before and after results below show the kind of natural lifting and contouring outcome our patients achieve at Dr Joney De Souza Clinic in Marylebone.
For most patients, Endolift involves a single session. Your journey starts with a full consultation where Dr De Souza assesses your anatomy, laxity and goals. He maps the treatment areas and discusses the expected outcome in detail before any treatment takes place.
On treatment day, Dr De Souza numbs the target area before introducing the fibre. The session typically takes 60 to 90 minutes. Over the following weeks, you will notice a progressive tightening and lifting effect as the collagen remodelling response develops. In most cases, the full result appears at three to six months.
Endolift results typically last two to three years. As a result, many patients choose a single top-up session at that point to maintain their outcome. In some cases, particularly where significant fat reduction is also a goal, Dr De Souza may recommend a second session at six to twelve months.
Over time, many patients also add Profhilo or polynucleotides to their plan, supporting skin quality and structural improvement between Endolift sessions.
As advised at consultation, stop blood-thinning medications (aspirin, ibuprofen, fish oil) and alcohol five to seven days before treatment. Arrive with clean skin and no make-up on the treatment area. Additionally, your local anaesthetic prescription will have been issued in advance, and you will apply it at home approximately one hour before attending the clinic.
In practice, you will feel mild pressure and warmth as the fibre moves through the tissue. Most patients rate discomfort at two to three out of ten. The procedure typically takes 60 to 90 minutes. You can listen to music or a podcast during the session. Before leaving, you will receive detailed aftercare instructions from Dr De Souza.
After treatment, expect mild swelling, tenderness and occasional bruising over the first four to seven days. During this time, apply prescribed aftercare products and avoid direct pressure on the treated area. In addition, stay out of steam rooms and saunas for two weeks. In most cases, swelling resolves fully within two weeks. The lifting effect then develops gradually over three to six months as the collagen response matures.
Endolift is a precision procedure. In practice, the outcome depends as much on the practitioner’s judgement and experience as it does on the technology itself. At Dr Joney De Souza Clinic, Dr De Souza performs or directly supervises every Endolift treatment, bringing the same clinical rigour and attention to anatomy that defines every treatment at the clinic.
As a doctor-led clinic, we apply clinical rigour that goes beyond what is typical in aesthetic practice. At your consultation, Dr De Souza carries out a full medical assessment and has an honest conversation about what Endolift can and cannot achieve for your specific concerns. As a result, you leave with a clear treatment plan built around your anatomy and goals, and a realistic picture of what to expect.
Pricing at Dr Joney De Souza Clinic follows the treatment area. The table below shows current rates for both Associate Clinician and direct Dr De Souza appointments. In both cases, treatments take place in the same doctor-led clinical environment, using the same equipment and protocol.
| Treatment | from (£) | With Dr Joney (£) |
|---|---|---|
Face (includes Cheeks, Jowls) | 2,510 | 2,950 |
Face & Neck (includes Cheeks, Jowls & Neck) | 2,975 | 3,500 |
Neck | 1,915 | 2,250 |
Submental (under chin) | 1,275 | 1,500 |
Endolift addresses the structural causes of skin sagging, including loose tissue, jowling and submental fullness. At the same time, skin quality plays a major role in both longevity and overall aesthetic outcome. In practice, patients who add Profhilo to their Endolift plan typically achieve a more complete outcome, with better hydration, texture and natural firmness alongside the structural lift.
Profhilo is an injectable biostimulator that delivers a high concentration of hyaluronic acid deep into the skin, stimulating collagen and elastin production from within. As a result, Dr De Souza frequently recommends Profhilo as a complement to Endolift, treating structure and skin quality together for a result that looks and feels naturally rejuvenated.
Dr De Souza typically plans Profhilo sessions to start six to eight weeks after Endolift, once the initial swelling has resolved. Many patients then choose to maintain Profhilo on a twice-yearly basis, supporting their Endolift result between sessions and preserving skin quality over time. Overall, the combination delivers one of the most natural-looking outcomes available at the clinic.
Endolift is a relatively new treatment in the UK, and patients often arrive with detailed questions about what the procedure involves, how it compares to alternatives and what they can realistically expect. The answers below cover the most common questions we hear at Dr Joney De Souza Clinic, from candidacy and downtime to longevity, safety and cost.
Endolift is a minimally invasive laser treatment that uses a hair-thin optical fibre to deliver controlled laser energy directly beneath the skin. The energy causes immediate tissue contraction and stimulates new collagen production, producing a lifting and tightening effect in the treated area. As a result, the procedure requires no incisions, stitches or general anaesthetic.
No. Endolift is a non-surgical procedure that creates a visible lifting effect through tissue tightening and collagen stimulation, without removing or repositioning tissue. However, a surgical facelift produces a more dramatic result in cases of significant laxity, as it involves incisions, a general anaesthetic and a longer recovery. In practice, Endolift suits patients with mild to moderate laxity who want improvement without surgery.
In areas with a localised fat deposit, Endolift selectively reduces the fat while simultaneously tightening the overlying skin. In practice, this works particularly well for jowls and under-chin fullness. However, the fat reduction targets small anatomical deposits rather than delivering significant overall volume reduction.
Most patients see results lasting two to three years from a single session. However, the duration depends on individual factors including age, skin quality, lifestyle and how well the collagen remodelling response develops. As a result, a single top-up session at the two to three year mark is typically sufficient to maintain the outcome.
Some immediate tightening appears on the day of treatment. However, the main result develops progressively over three to six months as the collagen remodelling response matures. In most cases, patients notice the clearest improvement between two and four months post-treatment.
Swelling typically peaks at four to seven days and largely resolves within two weeks. However, mild tenderness in the treated area may persist for several weeks. In most cases, patients find they can return to normal social activities within five to seven days once the acute swelling has settled.
Endolift has a strong safety profile in the hands of an experienced practitioner. In fact, clinicians around the world have performed the procedure for over a decade. As with any procedure, there are risks including swelling, bruising, temporary numbness and, rarely, temporary nerve involvement. Dr De Souza discusses all of these in detail at consultation.
Endolift suits all skin types and tones. In practice, the laser energy works beneath the skin surface, which means it does not carry the pigmentation risks associated with surface laser treatments. At consultation, Dr De Souza assesses suitability individually based on your anatomy, laxity and medical history.
In most cases, one session produces the full result. However, Dr De Souza may recommend a second session at six to twelve months for patients with significant fat deposits or pronounced laxity requiring a more staged approach. Overall, top-up sessions at two to three years maintain the result over time.
Endolift is not suitable for patients who are pregnant or breastfeeding, have active skin infections in the treatment area, have a history of keloid scarring, or take blood-thinning medications that they cannot safely pause. In all cases, a full medical assessment at consultation identifies any contraindications before treatment begins.
Endolift pricing starts from £1,275 for submental treatment and from £2,950 with Dr De Souza for full face treatment. Both Associate and Dr Joney appointments are on offer. However, Dr De Souza confirms final pricing at consultation based on the areas to be treated. See the pricing table above for current rates.
Once patients understand what Endolift achieves, they often want to know how it compares to thread lifts, Morpheus8, Ultherapy and surgical facelifts, and how it fits into a wider treatment plan. The answers below address the most frequent comparisons and questions we hear at the Dr Joney De Souza Clinic ahead of the decision to proceed.
Thread lifts use barbed sutures that sit beneath the skin to physically anchor and lift tissue. Endolift, however, uses laser energy to cause tissue contraction and stimulate collagen from within, producing a more gradual and natural-looking result. In practice, Endolift results typically last longer and carry a lower risk of visible irregularity compared to thread lifts.
Morpheus8 is a radiofrequency microneedling device that works by delivering energy through needles at the skin surface. It improves skin quality and mild laxity, with particular strength in skin texture and fine lines. However, Endolift works deeper, directly targeting the fibrous tissue and fat responsible for jowling and sagging. For significant structural laxity, Endolift typically produces a stronger lifting result. As a result, many patients benefit from both as part of a combined treatment plan.
Ultherapy uses ultrasound energy from the skin surface to stimulate collagen at specific depths. Endolift, in contrast, places the laser energy directly within the target tissue via a fine fibre, producing a more precise and concentrated effect. In practice, for most patients seeking a jawline and neck lift, Endolift produces a more significant structural result than Ultherapy.
Not in cases of significant skin excess or severe laxity. Endolift suits mild to moderate laxity and produces a natural, progressive improvement. However, a surgical facelift offers more dramatic lifting where there is significant excess tissue. In many cases, Endolift provides a meaningful result for patients who are not ready for or do not want surgery.
Anti-wrinkle injections relax facial muscles and fillers restore volume. However, neither addresses the structural laxity that Endolift targets. In practice, the treatments work well together. Many patients use Endolift to address structural sagging and injectables to maintain facial balance, softness and volume alongside.
For patients with mild to moderate laxity who want a non-surgical alternative to a facelift, Endolift represents good value relative to its longevity. In practice, a single session lasting two to three years typically compares favourably to repeated courses of energy-based devices or injectables. As a result, the investment is most appropriate for patients whose laxity is real and measurable at consultation.
Most patients who benefit from Endolift are in their mid-thirties to early sixties. In this range, there is typically enough residual skin elasticity for the collagen remodelling response to produce a meaningful result. However, below 35, patients rarely show the degree of structural laxity that Endolift targets. Above 65, a surgical approach may be the better option for significant laxity.
Yes, and many patients choose to combine Endolift with Profhilo, polynucleotides or anti-wrinkle injections for a more comprehensive result. In practice, Profhilo pairs particularly well with Endolift, supporting skin quality, hydration and elasticity while Endolift addresses the underlying structural lift. Overall, Dr De Souza will advise on the most appropriate combination at consultation.
Dr De Souza performs the treatment under local anaesthetic, so the target area is numb before the fibre enters. Most patients rate their discomfort during the procedure at two to three out of ten. After treatment, you can expect mild tenderness and swelling, both manageable with simple analgesics.
You can contact us by WhatsApp, phone or email. Alternatively, you can book your consultation online. The clinic sits in Marylebone, central London, within easy reach of Bond Street, Baker Street and Marble Arch tube stations.
At your consultation, Dr De Souza will assess your skin laxity, anatomy and goals in detail. He will give you an honest recommendation on whether Endolift is the right treatment for your concerns, discuss what outcome you can realistically expect and explain the procedure, aftercare and any risks. Overall, there is no obligation to proceed at the consultation appointment.
After your HydraFacial, keep the skin clean and avoid touching the treated area. SPF should be applied the following morning and throughout your course of treatment, as the skin is more responsive to UV during the days after treatment. Avoid heavy make-up for 24 hours, intense exercise for 48 hours and heat-based activities such as saunas or steam rooms for 72 hours. Use gentle, hydrating skincare and avoid retinoids or acids for one week.
Our patients return to us year after year for natural, balanced results. Every review reflects our commitment to precision, safety and a personalised approach to aesthetic care.
