How Endolift works

Endolift is the name Eufoton, an Italian laser maker, gives to a treatment with its LASEmaR 1500 diode laser. The laser emits at 1470 nanometres, a wavelength absorbed by water and fat. Its energy is carried by a fine, single-use optical microfibre that the doctor passes under the skin through a small entry point, with no incision and no stitch. As the fibre is moved in a fan and drawn back, the heat along its path makes the fibrous network under the skin contract. Over the following months the skin lays down new collagen, and where there is a small pocket of fat, the same heat can reduce it. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Endolift Clinic, 8 Devonshire Place, London, W1G 6HP, after a free consultation.

Why it is different from a surface treatment

A surface laser, radiofrequency microneedling and focused ultrasound all deliver their energy from outside in. Endolift delivers it from inside, along the fibre's path, which is why it needs a local anaesthetic, why it can reach a small fat pocket, and why the areas it treats are chosen with care. A 2026 review asks for particular care between the eyebrows, at the temples, under the eye, on the nose, the lips and the folds beside the nose. It names the marionette lines and the front of the neck over the thyroid as zones where the fibre is not inserted, although one published series treated the marionette lines.

What the records say

In the United States the laser holds two 510(k) clearances for surgical soft-tissue use, from 2010 and May 2026. Both list laser-assisted lipolysis, neither names lifting or tightening, and the 2026 record needed no clinical data; so the laser is FDA-cleared in the US for laser-assisted lipolysis, and for no lifting or tightening use. In Europe the maker states CE certification, and we make no claim beyond that. The clinic is CQC registered.

The session

1. Free consultation. Dr Marie Duggan examines the area, explains what the small studies say for it, chooses the entry points, goes through your history, and gives you the price in writing. In our practice, photographs are taken with your consent.
2. Numbing. Endolift is given under local anaesthetic; in most of the published series the anaesthetic was injected along the path of the fibre. In our practice the doctor plans comfort with you, because a burning sensation during treatment was reported by 59% of patients in one series with a 1470 nm laser.
3. Treatment. The microfibre is passed under the skin through a small entry point, moved in a fan and drawn back while the laser delivers its heat, pass by pass, across the area.
4. Straight after. The area is swollen and tender, with some bruising and some redness at the entry points. In the Endolift series mild swelling and redness were gone in one to two days.
5. The first weeks. Most people are back to normal in a day or two, with the swelling and bruising settling over several days, sometimes longer. Some tightening shows straight away as the tissue contracts.
6. Results. The real result develops over months as new collagen forms, measured in the studies at three to six months.

Which areas

Every area the device is used on, we treat. The lower eyelid, the cheeks and the folds beside the mouth, the jawline and jowls, the neck, the brows and the upper eyelid have small published series. The inner arms and the abdomen have a small series. Under the chin, the buttocks, the knees, the inner thighs, the ankles and the décolletage are on the maker's list or asked about with no Endolift study, so the doctor advises at the consultation what to expect. The forehead and frown lines, the nose and acne scars are not on the maker's list and have small series. Each area has its own page, from the under the eyes page to the ankles page, and the eyes and cheeks page, the jawline page, the neck page and the arms and abdomen page group them.

Who it suits

In our practice, Endolift suits an adult with early to moderate laxity of the lower face, the jawline or the neck, or a small pocket of fat under the jaw or on the body. In our experience it suits someone who wants one session under local anaesthetic and accepts a few days of swelling and bruising for a result that develops over months. A 2026 review lists metal implants, active infection, pregnancy, bleeding disorders, skin disease and cancer as reasons not to treat, and the doctor goes through your history at the consultation. The full guide covers the rest.