N.D. Moscoe, M.D.,
Cosmetic & Plastic Surgery
Endoscopy is a surgical technique that involves the use of a lighted telescope, a special viewing instrument that allows a surgeon to see images of the body's internal structures through very small incisions. Endoscope surgery has been used for decades in a number of different procedures, including gallbladder removal, tubal ligation, and knee surgery. However, in the world of plastic surgery, endoscopic instruments have only recently been introduced.
Advantages of Endoscopy:
All surgery carries risks and every incision leaves a scar. However, with endoscopic surgery, scars are likely to be hidden or much smaller, and some of the after-effects of surgery may be minimized.
In a typical endoscopic procedure, only a few small incisions--each less than one inch long--are needed to insert the endoscope probe and other instruments. For others, such as a forehead lift, three or more short incisions may be needed. The tiny "eye" of the endoscope's camera allows a surgeon to view the surgical site almost as clearly as if the skin were opened from a long incision.
Because the incisions are shorter with endoscopy, the risk of sensory loss from nerve damage is decreased. Also, bleeding, bruising and swelling may be significantly reduced. With the endoscopic approach, you may recover more quickly and return to work earlier than if you had undergone open surgery.
Most endoscopic procedures can be performed on an outpatient basis under local anesthesia with sedation. Be sure to discuss this possibility with Dr. Moscoe.