Endoscopic Technique

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footMany surgical procedures can be performed using an endoscope, a special instrument that allows our experienced plastic surgeon, Dr. Neal Goldberg, to view the internal structures of the body through tiny incisions. This unique tool looks like a long cylindrical tube with a camera and a light at one end and a viewing screen at the other. When the endoscopic probe is placed inside an incision, the image of the surgical field will be magnified and displayed on the screen. In this way, Dr. Goldberg can better observe the fine details of a procedure as he moves the endoscope around the area being treated.

The endoscope is not designed to perform a procedure; this device only serves to improve Dr. Goldberg’s ability to view the internal areas during surgery. Other surgical instruments will be utilized through a separate access point and maneuvered within the body to complete the operation.

For more information about endoscopy or to schedule an in-person visit with Dr. Goldberg, please contact us today.

Benefits of Endoscopy

Diminished Risk of Scarring

Shorter Incisions

Reduced Risk of Nerve Damage

Return to Normal Activities Sooner

Endoscopic surgery offers a variety of benefits, and research suggests there could be a number of additional applications. Currently, many plastic surgeons like Dr. Goldberg are already utilizing the endoscopic technique for cosmetic and reconstructive treatments.

Qualified patients may benefit from the endoscopic approach in the following procedures:

Cosmetic Surgery

Tummy Tuck (Abdominoplasty)

Breast Augmentation


Forehead Lift - Brow Lift

Reconstructive Surgery

Flap Surgery

Tissue Expander Placement

Sinus Surgery

Carpal Tunnel Treatment

Additional Considerations and Risks

The endoscope offers an innovative approach to surgery; however, the approach is still in the infancy stages of use for cosmetic procedures. Some of the potential risks associated with the endoscopic method include:

  • Infection
  • Nerve damage or sensory loss
  • Fluid accumulation beneath the skin (which must be drained)
  • Blood vessel damage
  • Skin injury
  • Internal perforation injury

Risk of complications will vary depending on the specific procedure and the unique indications of the patient. In every case, Dr. Goldberg will strive to provide the safest, most effective treatment possible.

It is important to note, Dr. Goldberg may have to divert to an open surgery from an endoscopic surgery if complications should develop. In this instance, a longer recovery period and a more extensive scar may result; however, complications typically are rare, occurring in approximately five percent or less of all endoscopic operations.

Determining if Endoscopic Surgery Is Right for You

The endoscopic approach has been utilized successfully in a variety of surgical fields for decades, including orthopedics, gynecology, and urology. Technological advances now allow extensively trained plastic surgeons like Dr. Goldberg to use this innovative technique in their cosmetic and reconstructive treatments. Endoscopic surgery potentially offers the same effective results as open procedures but with less scarring and potentially less downtime.

Qualified candidates for an endoscopic procedure will not have a substantial amount of loose, excess skin. A combination of traditional and endoscopic approaches may benefit patients with moderate to significant skin laxity who are seeking facelift, forehead lift, and/or abdominoplasty.

If you have additional questions about endoscopic surgery, or if you wish to schedule a consultation with Dr. Goldberg, please contact our office today.

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