Endotight Rejuvenation

EndoTight® is a minimally invasive laser-assisted tissue tightening and contouring procedure developed by Fotona using the Nd:YAG wavelength delivered through a specialised optical fibre. It is designed to tighten lax skin, stimulate collagen remodelling, and improve tissue support with less downtime than traditional surgical lifting procedures.

What is EndoTight®?

EndoTight® involves the insertion of a very fine laser fibre beneath the skin through a tiny entry point. Laser energy is delivered directly into the subcutaneous tissues, creating controlled thermal stimulation that:

• Causes immediate collagen contraction
• Stimulates long-term collagen remodelling
• Tightens fibroseptal connective tissue
• Improves skin support and firmness
• May reduce small localised fat deposits depending on treatment parameters

The procedure is usually performed under local tumescent anaesthesia.

Areas Commonly Treated

Face

• Lower face
• Jawline
• Jowls
• Nasolabial folds
• Marionette lines
• Cheeks

Neck

• Mild to moderate neck laxity
• Early “turkey neck”
• Jawline-neck transition

Body

• Upper arms
• Abdomen
• Knees
• Inner thighs
• Small areas of skin laxity after weight loss

How Does It Work?

The procedure uses Fotona’s Nd:YAG laser delivered through a thin optical fibre placed beneath the skin.

The laser energy:

• Heats connective tissue fibres.
• Causes collagen contraction.
• Stimulates new collagen production.
• Tightens supporting tissue structures.
• Improves skin firmness over subsequent months.

Unlike traditional resurfacing lasers, the energy is delivered from underneath the skin rather than from the surface.

Who Is It Best For?

Ideal candidates typically have:

• Mild to moderate skin laxity
• Early facial ageing
• Early jowling
• Mild neck laxity
• Good skin quality
• Desire to avoid surgery

Best results are generally seen in patients aged 35–65 years with reasonable skin elasticity.

Who Is Less Suitable?

Patients with:

• Severe jowling
• Significant neck skin excess
• Marked facial laxity
• Advanced ageing changes

may achieve better outcomes from surgical facelift procedures.

Benefits of EndoTight®

Potential benefits include:

• Minimally invasive procedure
• Performed under local anaesthetic
• No large incisions
• Minimal scarring
• Collagen stimulation
• Progressive skin tightening
• Improved jawline definition
• Improved neck contour
• Reduced recovery compared with surgery
• Can be combined with other Fotona procedures

How Many Treatments Are Needed?

Most patients undergo:

• One or two treatment sessions

Occasionally:

• A third treatment may be considered
• Maintenance procedures may be performed two or more years later

When Are Results Seen?

Immediate
Some tissue contraction may be visible immediately.

Early Results
2–6 weeks:

• Reduction in swelling
• Initial tightening

Optimal Results
3–12 months:

• Progressive collagen remodelling
• Maximum tightening effect

Patients should understand that results continue to develop gradually.

Recovery

Most patients experience:

• Mild swelling
• Bruising
• Tenderness
• Temporary firmness

Downtime is typically:

• Several days to 2 weeks

depending on treatment intensity and area treated.

Potential Complications

Common

• Swelling
• Bruising
• Tenderness
• Temporary numbness

Less Common

• Prolonged swelling
• Surface irregularity
• Temporary nerve irritation
• Localised fibrosis

• Rare
• Infection
• Burns
• Scarring
• Persistent contour irregularities
• Pigment changes

Combination Treatments

One of the strengths of EndoTight® is its ability to be combined with other Fotona treatments.

EndoTight® + SmoothLiftin®

Addresses:

• Deep tissue support
• Intraoral collagen stimulation

EndoTight® + VectorLift®

Provides:

• Internal tightening
• External lifting

EndoTight® + Frac3®

Improves:

• Surface texture
• Fine lines
• Pigmentation

EndoTight® + Piano®

Enhances:

• Bulk tissue heating
• Additional collagen stimulation

EndoTight® + WonderFace™

A potentially attractive combination:

• EndoTight® improves tissue support and skin tightening.
• WonderFace™ improves muscle conditioning and facial contour.
• Together they may address multiple layers involved in facial ageing.

Where Does EndoTight® Fit in Facial Rejuvenation?

A useful way to position EndoTight® on your website is:

EndoTight® is a minimally invasive laser tightening procedure designed for patients seeking more noticeable lifting and skin tightening than non-invasive treatments alone, while avoiding the downtime and recovery associated with traditional facelift surgery.

EndoTight® would sit between:

• Non-invasive treatments (WonderFace™, HIFU, RF tightening)
• Surgical facelift procedures

making it an attractive option for patients with moderate skin laxity who want a more significant result without undergoing surgery.