Endoscopic
S-Ponytail Facelift

The Endoscopic S-Ponytail Lift, performed by Dr. Tim J. Janssen at WaterhouseJanssen, is a minimally invasive procedure designed to rejuvenate the face while preserving a natural appearance.

This advanced technique specifically targets the:

• Forehead

• Cheeks

• Corners of the mouth

• Early signs of jowling

It promotes a youthful and defined appearance. By utilising endoscopic dissection, the S-Ponytail Lift avoids visible scarring with discreet incisions hidden within the hairline. Patients benefit from natural results without the side effects of traditional facelift methods.

What Makes the S-Ponytail Facelift Different?

Hidden Incisions

• Placed within the hair-bearing scalp and posterior auricular region

• No preauricular or tragal incisions

• Preserves ear and hairline contours with no visible scarring

Vertical Vector Repositioning

• Repositions tissues in a superior direction

• Opposes gravity without the “windswept” look of lateral pulls

Minimally Invasive

• Lifts skin, fat, and SMAS layer as one anatomical unit

• Preserves vascularity, reduces trauma, ensures natural repositioning

Preservation of Anatomical Integrity

• Tragus, sideburn, and hairline remain unaffected

• Maintains natural ear-to-cheek junction

Patient Selection Criteria

Ideal candidates present with:

• Early to moderate midface/lower face ptosis

• Mild malar fat pad descent

• Defined mandibular angle

• Good skin elasticity

Patients should seek natural rejuvenation without altering their core identity.

Operative Details & Anaesthetic Protocol

S-Ponytail Midface and Browlift:

• Day case procedure: 3–4 hours 

Anaesthesia options:

• General anaesthesia A full anaesthetic assessment is performed before surgery.

Endoscopic HI S-Ponytail Face and Necklift

• Day case or inpatient procedure: 4-6 hours

Anaesthesia options:

• General anaesthesia

Hybrid HI S-Ponytail incl. Jowl and Necklift

• Day case or inpatient procedure: 6-8 hours

Anaesthesia options:

• General anaesthesia

Postoperative Course & Recovery

Recovery following the S-Ponytail Lift is generally shorter than traditional facelift procedures

• Day 1: Light compressive head dressing

• Days 2–5: Skin-coloured tape for oedema & bruising

• 48 hours: Light walking permitted

• 1–2 weeks: Socially presentable

• 6 weeks: Swelling reduced

• 12 weeks: Final results visible

Adjunctive therapies:

• Lymphatic drainage therapy

• Hyperbaric oxygen therapy

Complementary Procedures

The S-Ponytail Lift may be combined with other procedures. At WaterhouseJanssen, the HI S-Ponytail Lift (hidden incision deep plane neck lift + S-Ponytail facelift) provides comprehensive rejuvenation.

Common add-ons include:

Durability of Results

• Effects last 10–15 years, influenced by lifestyle & ageing factors
• Technique avoids deep plane scarring, leaving future options open

Phone: +44 20 7636 4073
Email: karen@theaestheticsurgeons.com