Endoscopic Browplasty

Abstract

The endoscopic brow lift has become an established procedure that can safely and reliably rejuvenate the upper third of the face. The authors discuss relevant anatomy and considerations for patient selection to optimize surgical outcomes. A detailed review of surgical technique is presented, and the potential complications and means to reduce them are discussed.

Eyebrow-lift With Frontal Muscle Plication

“…Nevertheless, the high cost of the endoscopic equipment and prolonged time of the procedure still impose limits to its use. 1,2 In this context, other nonendoscopic techniques that are less invasive and involve different planes of dissection and incisions have been described. Regarding the dissection, subperiosteal, subgaleal, and subcutaneous are the main planes approached.…”

“…The major benefit is small incisions for a wide view of structures, leading to minimal scarring and less risk of alopecia. Nevertheless, the high cost of the endoscopic equipment and prolonged time of the procedure still impose limits to its use . In this context, other nonendoscopic techniques that are less invasive and involve different planes of dissection and incisions have been described.…”

“…

The design of the upper third of the face is one of the most important aspects that the facial plastic surgeon must be concerned about to achieve good aesthetic results during rejuvenation procedures.Different approaches are described, from coronal foreheadlift to endoscopic eyebrow-lift. 1,2 Before choosing the best technique, one must evaluate the position and quality of the hairline, eyebrow position, skin mobility, bone structure, symmetry, and shape of the periorbital area.The exact position of the eyebrow and its maintenance postoperatively are the main concerns. These should be in mind especially in women, whose eyebrows must be arched with a peak corresponding to the lateral aspect of the eye, whereas men's eyebrows can present a more horizontal design.

…”

“…Different approaches are described, from coronal foreheadlift to endoscopic eyebrow-lift. 1,2 Before choosing the best technique, one must evaluate the position and quality of the hairline, eyebrow position, skin mobility, bone structure, symmetry, and shape of the periorbital area.…”

“…The design of the upper third of the face is one of the most important aspects that the facial plastic surgeon must be concerned about to achieve good aesthetic results during rejuvenation procedures. Different approaches are described, from coronal forehead-lift to endoscopic eyebrow-lift . Before choosing the best technique, one must evaluate the position and quality of the hairline, eyebrow position, skin mobility, bone structure, symmetry, and shape of the periorbital area.…”