Endolift for the cheeks and folds in London

The cheeks with the folds from the nose to the mouth and the marionette lines below them are what the maker calls the lower middle third of the face, and it is on its list of Endolift areas. A published series of ten women treated once measured the area of the folds about a third smaller and their volume about a quarter smaller at three months. The fibre is passed under the skin of the cheek from small entry points, under local anaesthetic, in one session. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Endolift Clinic, 8 Devonshire Place, London, W1G 6HP, with the price in writing at a free consultation.

What it does on the cheeks

Endolift tightens the skin over the folds and softens them by contracting the fibrous layer and prompting new collagen, which the series measured as area and volume. It does not add volume to a hollow cheek, which a filler does, and it does not lift a heavy mid-face the way surgery does; the doctor says so where either is the better route. A 2026 review asks for particular care on the folds beside the nose and names the marionette lines as a zone where the fibre is not inserted, although the ten-woman series treated both. In our practice the fibre is passed around them from the cheek rather than along them.

What the series measured

Ten women, one session, three months: the area of the folds from nose to mouth down by about a third and their volume by about a quarter; the marionette lines were treated too, with no separate figure. A single session, no untreated comparison group, and a 2025 systematic review found a high risk of bias in the studies it kept.

The session and after

Local anaesthetic along the path of the fibre, the fibre passed under the skin from small entry points and moved in a fan and drawn back, pass by pass, and in our practice you go home the same day. Swelling, tenderness and some bruising, with redness at the entry points, settling over days. The result develops over three to six months and is photographed at the review in our practice. The downtime page sets out the recovery.

Who it suits

In our practice, an adult with early deepening of the folds beside the mouth and skin that still has elasticity, who wants one session. A 2026 review lists metal implants, active infection, pregnancy, bleeding disorders, skin disease and cancer as reasons not to treat. The jawline page covers the area below, and the full guide the rest. The price is in writing at a free consultation, with a price match on any comparable written quote.