Combining Endoscopic Operations

While temporal lift (as part of Bella Eyes® or Trinity Lift) creates impressive results on its own, combining multiple endoscopic procedures can create dramatic, comprehensive facial rejuvenation. By addressing multiple areas of aging simultaneously, combined procedures offer:

• Harmonious Results:All areas age together, so treating them together creates natural, balanced results
• Efficiency:One anesthesia session, one recovery period instead of multiple surgeries
• Cost Savings:Combining procedures is more economical than performing them separately months apart
• Comprehensive Transformation:Address the entire aging pattern rather than isolated areas
• Synergistic Benefit:Procedures work together for enhanced results

Dr. Ufuk Askeroglu is an expert in combining endoscopic procedures to create personalized, comprehensive treatment plans that transform your entire upper face and periorbital region.

What is Bella Eyes®?

Bella Eyes® is one of the most innovative facial rejuvenation procedures available today. This patented technique, developed by Dr. Ufuk Askeroglu, uniquely combines three powerful endoscopic components:

1. Endoscopic Dynamic Canthopexy– Lifts and reposition the lateral canthus (outer corner of eye)
2. Lateral Brow Lift– Elevates the outer (lateral) portion of the eyebrow
3. Temporal Lift– Naturally elevated as the brow tail is lifted and anchored

How Bella Eyes® Creates Comprehensive Upper Face Rejuvenation

Unlike traditional procedures that address only the eyelid or only the brow, Bella Eyes® simultaneously lifts and repositions:

• The lateral canthus (outer corner of eye)
• The lateral eyebrow
• The temporal area (naturally elevated from brow anchoring)

The Surgical Technique

Access: 2 small incisions strategically placed in the hairline
Visualization: Endoscopic camera provides precision guidance
Lateral Canthus: Lifted and fixed with special sutures
Lateral Brow: Elevated and anchored simultaneously
Temporal: Naturally lifted as brow tail is elevated

Published Research & Recognition

Bella Eyes® has been featured in:

• ISAPS(International Society of Aesthetic Plastic Surgeons) publications
• PubMedmedical literature
• International medical journals

This recognition validates the procedure’s safety, efficacy, and innovation.

Results of Bella Eyes®

✅ Dramatically larger, more youthful-looking eyes
✅ Improved eye shape and opening
✅ Lifted, elevated eyebrows
✅ Rejuvenated temporal area
✅ Alert, wide-awake facial expression
✅ Completely natural-looking results
✅ Virtually invisible scars (hidden in hairline)

Ideal For:

Patients wanting maximum eye opening with dramatic upper face rejuvenation and complete temporal elevation.

What is Trinity Lift?

Trinity Lift, also known as Endoscopic Midface and Lower Periorbital Unit Lift, is an advanced procedure addressing three key areas of midface aging:

1. Malar Fat Pad– Cheekbone volume and projection
2. SOOF(Sub-Orbicularis Oculi Fat) – Under-eye volume
3. Lower Eyelid Support– Eyelid position and support

The name “Trinity” refers to these three strategic lifting points working together.

How Trinity Lift Includes Subtle Temporal Lift

When the midface structures are lifted and anchored, the temporal area naturally rises along with them. This creates a subtle temporal lift as a secondary benefit, ideal for patients wanting:

• Temporal area improvement WITHOUT dramatic eye shape change
• Natural, understated rejuvenation
• More conservative results than Bella Eyes®
• Comprehensive midface/eye area treatment

Surgical Technique

Access: 2 small hidden incisions behind the hairline
Visualization: Endoscopic guidance for precision
Malar Fat Pad: Lifted for cheekbone projection
SOOF: Repositioned to eliminate under-eye hollowing
Temporal: Naturally elevated from midface anchoring
Lower Eyelid: Better supported and positioned

Results of Trinity Lift

✅ Lifted, defined cheekbones
✅ Eliminated cheek hollowness
✅ Improved under-eye area
✅ Better lower eyelid support
✅ Subtle temporal elevation
✅ No change to eye shape (unless desired)
✅ Refreshed, youthful midface
✅ Virtually invisible scars

Ideal For:

Patients wanting comprehensive midface rejuvenation with subtle temporal improvement, without the dramatic eye shape change of Bella Eyes®.

What is Endoscopic Sunken Eyes Correction?

Hollow, sunken eyes make you appear tired and older. This advanced procedure restores permanent volume using your own living fat tissue with an intact blood supply.

The Innovation: Infratemporal Fat Transposition

How It Works:

• A living fat pad from the infratemporal region (hollow area above/in front of ear) is carefully repositioned as a single unit
• The tissue retains its original blood supply—it remains “pedicled” and vascularized
• This preservation of blood supply ensures permanent survival (vs. 30-50% resorption with traditional fat grafting)
• Repositioned through a 2cm hidden hairline incision

Why This is Superior to Fillers

Filler Problems:

• Requires annual injections (costly long-term)
• 30-50% resorbs annually (needs top-ups)
• Foreign materials in body
• “Overfilled” appearance risk

Infratemporal Fat Transposition Advantages:

• One-time procedure with permanent results
• Your own living tissue
• Maintains natural appearance
• No ongoing maintenance

Results of Sunken Eyes Correction

✅ Eliminated hollow eyes
✅ Restored lost volume
✅ Eliminated dark circles from volume loss
✅ More youthful eye contour
✅ Permanent results
✅ Natural appearance

Ideal For:

Patients with hollow or sunken eyes who want permanent volume restoration without ongoing filler injections.

What is Tear Trough Correction?

Tear trough deformity—the deep line from eye corner toward cheek—is an early sign of aging. This procedure restores lost volume using natural fat grafting.

How It Works

• Uses small amount of patient’s own natural fat
• Endoscopic approach for precision placement
• Completely scarless endoscopic access
• Often combined with Trinity Lift for enhanced results

Why Choose Over Fillers

• Permanent results vs. temporary fillers
• Your own natural tissue vs. foreign materials
• More cost-effective long-term
• No need for annual top-ups

Results of Tear Trough Correction

✅ Eliminated tear trough depression
✅ Smoothed transition between eye and cheek
✅ Reduced dark circles appearance
✅ More youthful eye area
✅ Permanent results
✅ Natural appearance

Ideal For:

Patients with prominent tear trough deformity wanting permanent, natural correction without ongoing filler maintenance.

What is Endoscopic Medial Brow Lift?

Elevates and tightens the inner (medial) portion of the eyebrows using minimally invasive endoscopic technique through 4 small hairline incisions.

How It Complements Temporal Lift

• Bella Eyes®includes lateral brow lift (outer eyebrow)
• Medial Brow Liftaddresses medial brow (inner eyebrow)
• Together:Complete brow elevation for balanced, proportionate results

Results

✅ Lifted medial (inner) eyebrows
✅ Reduced forehead wrinkles
✅ Better brow symmetry
✅ Complete brow elevation when combined with lateral procedures

Ideal For:

Patients wanting comprehensive brow rejuvenation addressing both medial AND lateral brow areas.

Combination 1: Bella Eyes® Alone (Most Popular)

Includes:

• Endoscopic dynamic canthopexy
• Lateral brow lift
• Temporal lift
• Complete temporal elevation

Best For: Maximum eye opening and complete upper face rejuvenation

Cost: $8,000 USD / €7,000 EUR

Combination 2: Trinity Lift Alone

Includes:

• Endoscopic midface lift
• SOOF repositioning
• Lower eyelid support
• Subtle temporal lift

Best For: Comprehensive midface rejuvenation without dramatic eye shape change

Cost: $8,000 USD / €7,000 EUR

Combination 3: Bella Eyes® + Medial Brow Lift

Includes Everything From:

• Bella Eyes® (lateral canthus, lateral brow, temporal lift)
• Medial Brow Lift (inner brow elevation, forehead lines)

Result: Complete brow elevation from medial to lateral with dramatic eye opening

Best For: Patients wanting maximum brow and eye rejuvenation with completely elevated brows

Combination 4: Trinity Lift + Medial Brow Lift

Includes Everything From:

• Trinity Lift (midface, under-eye, subtle temporal)
• Medial Brow Lift (inner brow elevation, forehead lines)

Result: Comprehensive upper and mid-face rejuvenation with complete brow elevation

Best For: Patients wanting comprehensive facial rejuvenation without dramatic eye shape change

Combination 5: Trinity Lift + Sunken Eyes Correction

Includes Everything From:

• Trinity Lift (midface, under-eye, temporal)
• Sunken Eyes Correction (permanent volume restoration)

Result: Comprehensive midface and eye area rejuvenation with permanent volume restoration

Best For: Patients with hollow eyes, sunken appearance, cheek descent, and under-eye hollowing

Combination 6: Bella Eyes® + Tear Trough Correction

Includes Everything From:

• Bella Eyes® (lateral canthus, lateral brow, temporal)
• Tear Trough Correction (volume restoration under-eye)

Result: Complete eye rejuvenation with lifted eye shape and smoothed under-eye area

Best For: Patients wanting dramatic eye improvement with tear trough elimination

Combination 7: Advanced Total Facial Rejuvenation

Includes Everything From:

• Bella Eyes® (lateral canthus, lateral brow, temporal)
• Trinity Lift (midface, SOOF, lower lid support)
• Medial Brow Lift (inner brow, forehead lines)
• Sunken Eyes Correction (permanent volume)
• Tear Trough Correction (under-eye smoothing)

Result: Complete facial transformation with maximum rejuvenation

Best For: Patients wanting comprehensive transformation addressing all areas of upper face aging

Synergistic Benefits

Complete Lifting: Addressing multiple areas creates comprehensive lift rather than isolated changes
Natural Proportions: When entire face is treated, results look proportionate and balanced
Unified Results: All areas heal together with one recovery period
Harmonious Appearance: Avoids the “worked on” look of isolated procedures

Efficient Healing

One Anesthesia Session: Less stress on body
One Recovery Period: 7-10 days return to work instead of multiple recoveries
One Healing Timeline: All areas heal together naturally

Cost Effectiveness

More Economical Than Separate Surgeries: Combining procedures costs less than performing separately months apart
Reduced Total Cost: Combined pricing is more favorable than individual procedures
Streamlined Surgery: One surgical session vs. multiple procedures

Good Candidates Have:

✅ Multiple areas of concern (brow, temporal, eyes, midface)
✅ Good overall health
✅ Realistic expectations
✅ Commitment to follow post-operative instructions
✅ Adequate recovery time (7-10 days minimum)

Questions to Discuss During Consultation:

• Which areas concern you most?
• Do you prefer dramatic change (Bella Eyes®) or subtle (Trinity Lift)?
• Are forehead lines a concern (medial brow lift)?
• Do you have hollow eyes (Sunken Eyes Correction)?
• Do you have tear trough deformity (Tear Trough Correction)?
• What’s your ideal result?
• How much recovery time can you take?