Resumen

Objectives: 1. To choose the proper candidate for endolift. 2. To evaluate the challenges and complications encountered during the Endolift procedure and to analyze effective strategies for their prevention and management based on clinical experience 3. To present case study highlighting complications arising from the Endolift procedure and to discuss the clinical decision-making process involved in managing these events 4. To explore the technical limitations and complication risks of the Endolift procedure and asses modifications in techniques in order to minimise the potential risks. Introduction: Endolift is an innovative, minimally invasive laser treatment that targets skin laxity and localized adiposity by delivering energy through micro-optical fibers. While it has gained popularity for facial and body contouring with minimal downtime, practitioners must be aware of the potential challenges and complications that can arise during or after treatment. A comprehensive understanding of these issues is essential to ensure patient safety, manage expectations, and optimize outcomes. Materials / method: We conducted an observational review of 1,000 patients treated with Endolift® between January 2022 and May 2025. Treatments targeted facial and submental areas using a 1,470 nm diode laser. Patient data were analyzed for demographics, treatment settings, and complications, with a focus on marginal mandibular nerve injury. Follow-ups were performed at 1 week, 1 month, and 3 months to assess outcomes and management strategies. Results: Among 1,000 patients, 42 (4.2%) experienced complications. Marginal mandibular nerve dysfunction occurred in 11 cases (1.1%), presenting as temporary lower lip weakness and asymetry while talking and blowing air. Most resolved within 6–8 weeks with conservative management, including oral coticosteroid tablets, vit12 supplements, physioitherapy, PRP and RF energy based laser applications. No permanent nerve injuries were reported. Other minor complications included bruising, nodularity, and fibrosis, all managed successfully without long-term effects. Conclusion: Endolift is a safe and effective treatment when performed by trained hands, but awareness of anatomical danger zone, especially around the mandibular margin is critical. Also avoid performing Endolift on areas such as the jawline and chin if dermal fillers have been previously injected. Early recognition and management of complications ensure favorable outcomes and patient satisfaction. My findings support the development of safety protocols to further reduce complication.