Liquid facelift or endolaser? Differences and who suits which
Short answer: The two methods solve different problems. When volume loss leads — hollow cheeks, thinning skin — a liquid facelift (PLLA/CaHA) is considered; when laxity and limited fat under the chin and jawline lead, endolaser is considered. When both are present they can be combined in a planned way; with marked excess skin neither replaces a surgical lift.
Key differences
| Liquid facelift (PLLA / CaHA) | Endolaser | |
|---|---|---|
| Target | Lost volume, skin quality, collagen response | Laxity under the skin, limited local fat |
| How it is done | Injection with needle or cannula | Laser energy under the skin through a fine fibre, local anaesthesia |
| Typical areas | Cheeks, temples, midface | Under the chin, jawline, neck |
| Sessions | Usually 2–3, 4–6 weeks apart | Usually one session |
| Recovery | Mild swelling for a few days | Swelling, bruising, compression; a few days to 1 week |
| Result | Gradual over weeks to months | Assessed at 3–6 months |
Who may suit which?
- Hollow cheeks, a tired look, thinning skin: a liquid facelift comes first.
- Blurred jawline and mild–moderate laxity under the chin: endolaser comes first.
- Both hollowing and sagging after rapid weight loss: the two can be planned together.
- Marked excess skin: surgical options are discussed.

Can they be combined?
Yes, in suitable people. Order and interval are decided at consultation. Usually endolaser tightens the lower face and neck first, and once swelling has settled the remaining volume need is addressed with a liquid facelift.
Frequently asked questions
Which lasts longer?
Longevity depends on age, weight change and skin structure; the two target different problems, so they are not directly comparable.
Which after weight-loss injections?
If volume loss leads, a liquid facelift; if sagging leads, endolaser, or both together.
Related guides
Lower face and jawline endolaser ↗
Facial sagging after weight-loss injections ↗
Further reading
PLLA consensus recommendations (2024)Laser-assisted lipolysis — clinical patient selection studyGeneral patient information. Individual treatment is planned in consultation.