Endolift vs FaceTite: how they differ, what they cost and what to ask
Both go under the skin, which is why both can do more than a surface device and why both carry more recovery and more risk. Which Dr Leah would use for a soft, undefined neck, and when Dr Leah would send a patient for a surgical opinion instead, depends on how much laxity and how much fat there is.
In The Ageless Blueprint, Dr Leah rates Endolift and the FaceTite family of treatments out of 10 in separate chapters, explains which one Dr Leah performs and why, and sets out a three-step plan for lower face and neck sagging. This page gives the facts for anyone comparing the two.Side by side
| Endolift | FaceTite | |
|---|---|---|
| What it is | A fine optical fibre passed beneath the skin through tiny entry points delivers 1470 nm laser heat to tighten tissue, stimulate collagen and reduce small fat pockets | Radiofrequency delivered beneath the skin through a fine cannula to contract tissue. FaceTite, NeckTite and QuantumRF are related devices; often combined with aspiration liposuction of the neck |
| Generally used for | Mild to moderate laxity and small pockets of fat, especially under the chin or along the jawline | Upper-neck laxity and loss of definition under the chin, particularly when a fat pocket is present |
| Areas treated | Lower face and neck; small areas such as under the chin can be treated alone | Lower face and full neck, usually treated together in one procedure |
| Results | A subtle contour improvement; the best result is typically seen three months or more after treatment | Improved neck and jawline contour; it does not reposition a descended jowl |
| Sessions | One procedure | One procedure; the tightening generally lasts around two to three years, with variation |
| Downtime | Swelling and tenderness are common; bruising can take up to two weeks to settle | Swelling and bruising can take two to three weeks; a compression garment is worn for the first 72 hours |
| Discomfort | Local anaesthetic injections sting; pressure, movement or warmth during treatment | Local anaesthetic; tenderness, numbness or firmness as the tissue heals |
| Typical UK price | About £1,200 for a small area; £2,500 to £3,500 for the face and neck | About £3,400 to £6,000 for the lower face and full neck including neck liposuction |
| Main risks | Burns, pigmentation change, uneven contours, unwanted fat loss, infection, and temporary or persistent nerve symptoms including weakness around the mouth | Weakness of the lower lip if the marginal mandibular nerve is irritated, burns, altered sensation, uneven contours, and scarring beneath the skin that may complicate a later facelift |
The practical differences
Endolift in brief
- Laser energy through a fibre; no incisions and a shorter recovery than surgery
- Lower price, and small areas can be treated on their own
- Published results are encouraging but the research base is still limited
- Results vary and can be subtle where jowling or excess neck skin is marked
FaceTite in brief
- Radiofrequency through a cannula, usually paired with neck liposuction in the same session
- Larger change in the upper neck, at a higher price and with more swelling
- Jowls often need an added thread lift or filler, which raises the overall cost
- Lower-lip weakness is the risk to discuss, usually resolving over 8 to 12 weeks when it occurs
Five things to ask before you book either
- How much of my problem is loose skin and how much is fat under the chin? Will the plan address both?
- How many of these procedures do you perform a year, and can I see results on a neck like mine at three months and at one year?
- What is the risk of weakness around my mouth with your technique, and what happens if it occurs?
- What will I look like at one week and two weeks, and will I need a compression garment or time off work?
- If my jowls do not change, what would you add, and what would the total cost become?
Dr Leah’s verdict on both is in the guide
Chapter 11 of The Ageless Blueprint rates Endolift out of 10, explains that Dr Leah’s view draws on the published research and on conversations with clinicians and patients rather than on performing it, and names the treatment Dr Leah would favour instead where there is more laxity or more fat to remove. Chapter 12 rates QuantumRF, FaceTite and NeckTite out of 10, describes the three-step plan Dr Leah uses for lower face and neck sagging, gives Dr Leah’s view of how often lower-lip weakness really occurs, and sets out when Dr Leah would advise a surgical opinion. Seven pages across the two chapters, with illustrations of a combined approach.
This page gives general information and does not replace a consultation with a qualified practitioner who can assess your face, skin and medical history. Prices are typical UK ranges, accurate as of September 2026, and vary between clinics. For adults aged 18 and over.
Common questions
No. Endolift passes a fine laser fibre under the skin; FaceTite, NeckTite and QuantumRF pass a cannula that delivers radiofrequency. Both heat tissue from beneath to tighten it and can reduce small pockets of fat, but the energy, the procedure and the recovery differ.
Endolift: swelling and tenderness for the first few days, with bruising taking up to two weeks. FaceTite with neck liposuction: swelling and bruising for two to three weeks, with a compression garment worn continuously for the first 72 hours.
No. Both suit mild to moderate laxity. With advanced sagging or substantial excess skin, a surgical face and neck lift offers a larger change, and the guide explains when Dr Leah would say so.