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Endoscopic deep periorbital lifting: study and results based on 50 consecutive cases.

J C Dardour, T Ktorza

    Aesthetic Plastic Surgery
    |August 24, 2000
    PubMed
    Summary

    Endoscopic deep periorbital lifting rejuvenates the upper face by suspending tissues. This surgical technique achieved good to excellent results in 70% of patients, improving eyelid height and facial contours.

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    Area of Science:

    • Plastic Surgery
    • Facial Rejuvenation Techniques

    Background:

    • Aging affects the upper two-thirds of the face, leading to aesthetic concerns.
    • Traditional lifting techniques may have limitations in addressing periorbital and midface aging.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of endoscopic deep periorbital lifting.
    • To assess the technique's impact on eyelid height, nasolabial folds, and cheekbone prominence.

    Main Methods:

    • A consecutive series of 50 patients undergoing endoscopic deep periorbital lifting between 1995 and 1999.
    • The operative principle involves suspending premalar tissues to the superficial temporal aponeurosis.
    • Subperiosteal undermining of premalar tissue was employed for optimal results.

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    Main Results:

    • 70% of patients achieved good to excellent aesthetic outcomes.
    • The procedure effectively decreased inferior eyelid height and corrected nasolabial folds.
    • Enhanced relief of the cheekbone was observed postoperatively.

    Conclusions:

    • Endoscopic deep periorbital lifting is an effective method for upper facial rejuvenation.
    • Careful management of cutaneous palpebral resection (≤5 mm) is crucial to avoid complications like 'round eye'.
    • Subperiosteal undermining offers superior results and reduces the risk of facial nerve paresis.