Endolift for the eyes and cheeks in London

The eye area and the cheeks have the most published Endolift series of any area: the lower eyelid, the upper eyelid and brow, and the cheeks with the folds from nose to mouth and the marionette lines. Each is treated in one session under local anaesthetic, with the fibre passed under the skin from small entry points. A 2026 review asks for particular care under the eye and on the folds beside the nose, among other zones of the face. It names the marionette lines as a zone where the fibre is not inserted, although one published series treated them. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Endolift Clinic, 8 Devonshire Place, London, W1G 6HP, with the price in writing at a free consultation.

What the studies measured

• Lower eyelid, 9 patients, six months: good or very good improvement in about 90% of patients after one session.
• Upper eyelid laxity, 9 patients, six months: the laxity score fell from 3.5 to 1.0.
• Cheeks and folds, 10 women, three months: the area of the folds from nose to mouth down by about a third and their volume by about a quarter; the marionette lines were treated too, with no separate figure.
• The risk to know around the eye: with a device using 1470 nm and 1064 nm around the lower eyelid, 3 of 261 patients (1.15%) had a burn and 9 (3.45%) a temporary reduction in sensation.

What it does and does not do

Under the eye, Endolift tightens the loose skin and can reduce a small fat pocket; the eye-bag series measured thicker, more elastic skin and a photographic improvement. On the upper lid and brow it tightens the hooding. On the cheeks it tightens the skin over the folds and softens them, which the series measured as area and volume. It does not remove the fat pads of a heavy eye bag or the excess skin of a heavy hood, which a blepharoplasty does, and it does not add volume to a hollow cheek, which a filler does. The doctor says so where either is the better route.

The session and after

Endolift is given under local anaesthetic; in most of the published series the anaesthetic was injected along the path of the fibre. The fibre is passed under the skin from small entry points and moved in a fan and drawn back, pass by pass, with the zones of care respected, and in our practice you go home the same day. Swelling, tenderness and some bruising, with redness at the entry points, settling over days; the eye area bruises more visibly than the jaw in our experience, so plan around any event. The result develops over three to six months and is photographed at the review in our practice. The downtime page sets out the recovery.

Who it suits

In our practice, an adult with early crepiness or a small fat pocket under the eye, mild hooding of the upper lid, or early deepening of the folds beside the mouth, who wants one session. A 2026 review lists metal implants, active infection, pregnancy, bleeding disorders, skin disease and cancer as reasons not to treat. The under the eyes, upper eyelids and brows and cheeks pages take each area on its own, the jawline page covers the area below, and the full guide the rest.