Every Endolift treatment is planned around your anatomy, skin laxity and goals.
Endolift is for anyone who wants a firmer, more lifted jawline and neck without surgery, stitches or a general anaesthetic. It works at its best on mild to moderate sagging skin, softening early jowls and easing laxity. The result is renewed definition and a natural, refreshed version of your own features.
The patients who do best tend to share a profile. They have good baseline skin quality and realistic expectations. They want a gradual, natural improvement rather than an overnight change. For many, avoiding surgery is the deciding factor, helped by the minimal downtime.
Endolift works from within the skin rather than across its surface. A hair-thin optical fibre carries controlled energy into the deeper layers of the skin. It enters through a single tiny point, with no incisions or stitches. This cutting-edge laser then tightens the surrounding tissue and stimulates fresh collagen.
The same energy can also target a small pocket of fat, such as the jowls or under the chin. It gently reduces the fat cells while firming the skin above. The result builds in two stages. First, immediate tissue contraction gives an early tightening effect. A slower collagen response then keeps improving the skin over three to six months. Most people see the clearest change between two and four months, and results last two to three years.
First, Dr De Souza numbs the area with local anaesthetic. He then places a fine optical fibre, about 300 microns across, beneath the skin through a single entry point. As the fibre passes through the tissue, it releases controlled laser energy into the deeper layers of the skin.
Where the goal is tightening, the laser prompts immediate collagen contraction and sets off a longer collagen-building response. Some patients also have localised fat, such as the jowls or under the chin. Here the energy shrinks the fat cells and firms the skin above. Most patients notice an early improvement that keeps developing over the months that follow.
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.
The Endolift procedure improves the skin gradually over three to six months, as the collagen response develops. The before and after photographs below show the natural lifting and contouring our patients achieve at our Marylebone clinic.
For most patients, Endolift involves a single session. It starts with a full consultation, where Dr De Souza assesses your anatomy, skin laxity and goals. He then maps the treatment areas and talks through the outcome you can expect.
On treatment day, Dr De Souza numbs the target area, then places the fibre. The session usually takes 60 to 90 minutes. Any side effects afterwards are usually mild and short-lived. The most common are some swelling, tenderness and a little bruising over a few days. Over the following weeks, you will see a progressive tightening and lifting effect. The full result appears at three to six months.
Endolift results typically last two to three years. Many patients choose a single top-up session at that point to maintain their outcome. Where significant fat reduction is also a goal, Dr De Souza may suggest a second session at six to twelve months.
Over time, many patients also add Profhilo or polynucleotides to their plan. These support skin quality and structure 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. The result depends as much on the practitioner’s judgement and experience as on the technology itself. At Dr Joney De Souza Clinic, Dr De Souza performs or directly supervises every Endolift treatment. He brings the same clinical rigour and attention to anatomy that defines the whole clinic.
As a doctor-led clinic, we apply a level of clinical rigour that goes beyond much of aesthetic practice. At your consultation, Dr De Souza carries out a full medical assessment. He has an honest conversation about what Endolift can and cannot do for your concerns. You leave with a clear plan built around your anatomy and goals, and a realistic idea of what to expect.
Endolift cost in the UK depends on the area treated and the clinician you see. To make it easy to compare, the table below shows our current rates at Dr Joney De Souza Clinic. It covers both Associate Clinician and direct Dr De Souza appointments. Either way, treatment takes place in the same doctor-led clinic, with 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 sagging skin, from loose tissue to jowling and fullness under the chin. Skin quality matters too. It plays a large part in how long the result lasts and how natural it looks. Patients who add Profhilo to their Endolift plan often reach a more complete outcome. They gain better hydration, texture and firmness alongside the structural lift.
Profhilo is an injectable biostimulator. It delivers hyaluronic acid deep into the skin, prompting the body to make more collagen and elastin. Dr De Souza frequently recommends it alongside Endolift. Treating structure and skin quality together gives a result that looks and feels naturally refreshed.
Dr De Souza usually plans Profhilo to begin six to eight weeks after Endolift, once the initial swelling has settled. Many patients then keep Profhilo up twice a year. This supports the Endolift result and preserves skin quality over time. Together, the two treatments give one of the most natural-looking outcomes 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 year after year for natural, balanced results. The Endolift reviews below are drawn from verified Google feedback, part of a 4.9 rating from more than 270 reviews. Every review reflects our commitment to precision, safety and personal care.
