ABSTRACT
The introduction of endoscopes is responsible for the surge in many of the aesthetic
facial plastic surgeries in the past decade. This relatively new technology is widely
used in upper-third facial rejuvenation and created a natural evolution into the rejuvenation
of the central midthird of the face. After careful patient selection and evaluation,
several key maneuvers are accomplished to achieve forehead and midface rejuvenation:
(1) a subperiosteal dissection of the scalp to the level of the superior and lateral
orbital rims and zygomatic arch, (2) incision and release of orbital periosteum, (3)
selective myectomies of the glabella muscles, (4) subperiosteal dissection of the
midface (from infraorbital rim to the inferior aspect of the maxilla and laterally
over the entire zygomatic arch to the gonial angle beneath the masseteric aponeurosis),
and (5) suspension and reposition of the malar fat pad, suborbicularis oculi fat,
and soft tissue overlying the angle of the mandible. Endobrow-midface lift is a safe
and reliable method to rejuvenate the upper two thirds of the face with excellent
results while minimizing the morbidities and complications associated with the traditional
open procedures.
KEYWORDS
Endoscopic forehead lift - endoscopic midface lift - endoscopic facelift
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Kyle S ChoeMD
Laser Skin & Vein Center of Virginia
933 First Colonial Road #113
Virginia Beach, VA 23454