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Related Experiment Videos

Minimal-incision endoscopic face-lift.

B P Maloney1, J Schiebelhoffer

  • 1Premier Image Cosmetic and Laser Surgery PA, 4553 N Shallowford Rd, Suite 20-B, Atlanta, GA 30338, USA.

Archives of Facial Plastic Surgery
|November 14, 2000
PubMed
Summary
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The endoscopic subperiosteal facelift offers improved rejuvenation for midfacial ptosis compared to traditional methods. Patients with thinner faces and defined bone structure achieved the most enduring results with minimal complications.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation Techniques

Background:

  • Midfacial ptosis, characterized by deep melolabial folds, lower eyelid lengthening, and oral commissure depression, shows limited improvement with conventional superficial musculoaponeurotic system (SMAS) suspension or rhytidectomy.
  • Advanced techniques like subperiosteal, deep plane, and composite rhytidectomies have been developed to address these aging concerns.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of endoscopic subperiosteal facelift procedures.
  • To assess the technique's effectiveness as an isolated procedure or in combination with other facial rejuvenation methods.

Main Methods:

  • A review of patients undergoing endoscopic subperiosteal facelift, either alone or combined with SMAS rhytidectomy.
  • Assessment of initial improvement and long-term results, focusing on patient characteristics and complication rates.

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Main Results:

  • All patients demonstrated initial improvement following the endoscopic subperiosteal facelift.
  • Patients with thin faces and well-defined facial bone structure exhibited the most favorable and sustained long-term outcomes.
  • Complications were infrequent, with no instances of permanent facial nerve injury.

Conclusions:

  • Endoscopic subperiosteal facelift is a valuable technique for midfacial rejuvenation.
  • The procedure can be effectively utilized as a standalone treatment or integrated with complementary procedures like facial liposuction or SMAS suspension rhytidectomy.