[Mini-invasive surgical procedure to reverse the aging process]

Reduction of the bony structure of the face is the main reason for flabbiness and drooping of the facial soft tissues. Because we do not currently have recourse to restore the lost bony volume, a good possibility is to reestablish an optimal relationship between the soft tissues and the present bony volume. Based on this principle, we have developed the procedure of mini-invasive subperiosteal facial restoration. In this paper we describe the application of this procedure to restore the frontal region. The maneuvers and instrumentation used to perform this procedure through frontal, palpebral or the combination of both approaches are described. Based on the surgical anatomy, orientation and instructions for obtaining the goals of the procedure and to avoid complications are elucidated. Ancillary procedures that may be associated with this procedure are described, as well as detailed postoperative care. Observed complications are noted and a summary of the obtained results, which have shown a high degree of patient and surgeon satisfaction, are reported. Observations from our experience with this method during a 10-year period and the reasons for this being the procedure of our first choice are revealed.