MIVEL (Minimal Incisions Vertical Endoscopic Lifting) 

represents a modern and structured approach to facial rejuvenation based on endoscopic anatomy, vertical vectors, and deep tissue repositioning.
It was developed to move beyond traditional facelift concepts by focusing on anatomical restoration rather than skin traction, allowing natural, stable, and scarless results.

The MIVEL technique is performed through limited and concealed incisions, using endoscopic visualization to access deep surgical planes with precision and safety.
This approach enables controlled dissection, accurate identification of anatomical landmarks, and vertical repositioning of facial structures while fully preserving facial expression and identity.

Rather than a single procedure, MIVEL is conceived as a progressive surgical system, articulated into three distinct levels—MIVEL I, MIVEL II, and MIVEL III—each defined by the anatomical extent of dissection and the clinical objective of rejuvenation.

Rather than a single procedure, MIVEL is conceived as a progressive surgical system, articulated into three distinct levels—MIVEL I, MIVEL II, and MIVEL III—each defined by the anatomical extent of dissection and the clinical objective of rejuvenation.

Mivel I

is focused on the upper third of the face and the periocular region.
It is designed to enhance the gaze through endoscopic lifting of the brow and periorbital structures, producing a refined gaze enhancement and “foxy eyes” effect while preserving natural expression.
This level addresses early signs of aging and aesthetic imbalance in the upper face through selective endoscopic dissection and vertical repositioning, without extending to the midface or lower facial compartments.

Mivel II

extends the endoscopic dissection to the midface, including the malar and zygomatic areas.
By combining upper-third and midface lifting, MIVEL II achieves a harmonious rejuvenation of the upper third, the gaze, and the midface, following vertical vectors that restore facial proportions and volume positioning.
This level represents a comprehensive endoscopic lifting strategy for patients with more advanced midfacial descent, while maintaining a scarless and anatomically respectful approach.

Mivel III

is an advanced procedure that further extends the dissection to the lower third of the face and the jawline.
It allows rejuvenation of the lower face without preauricular incisions, relying instead on endoscopic deep-plane repositioning combined with limited retroauricular skin resection when required.
MIVEL III enables correction of jawline laxity and lower facial aging while preserving natural contours and avoiding the stigma of traditional facelift scars.

Across all its levels, MIVEL is defined by shared principles: minimal and concealed incisions, vertical endoscopic vectors, respect for functional anatomy, avoidance of cutaneous tension, and reproducible results that remain stable over time.
It is not conceived as a trend-driven technique, but as a coherent endoscopic lifting philosophy, adaptable to different degrees of aging and capable of evolving with surgical expertise.

MIVEL is not a single operation.
It is a progressive endoscopic system designed to restore the face from within.

References