Endobrow-Midface Lift

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.

Cervicofacial Rhytidectomy without Notorious Scars: Experience of 29 Years

“…11,12 Complementary surgical techniques could be used to improve other facial areas. Those include an endobrow midface-lift approach, 13,14 lower blepharoplasty to improve midface, 15,16 facial lipografting, 17,18 fillers, and/or facial implants. 19 For the treatment of the neck and the submandibular area in rhytidectomy, we can use different options: submental platysmaplasty with or without liposuction, mentoplasty, or nonsurgical treatments such as the use of botulinum toxin type A.…”

Endoscopic Browplasty

“…Therefore, if 2 to 4 mm of medial brow elevation is desired, the distance between the anterior aspect of the incision and the screw hole should be 10 to 12 mm, respectively. 8 It should be noted that at this time, further dissection into the midface would allow access for simultaneous midface lifting (►Fig. 8).…”

Endoscopic-Assisted Facelifting

“…A volumetric remodeling of the cheek is done with an associated temporal lift, which prevents bunching of skin in the malar area and corrects the V deformity of the lower lid enhancing its support. 27,28 In addition, it allows simultaneous fat grafting without the risk of fat migration, improves the nasolabial fold and jowl areas, and allows for simultaneous resurfacing of the skin.…”