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Related Experiment Video

Updated: Jun 18, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
09:53

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Published on: July 5, 2021

Endoscopic forehead and brow lift.

Gregory S Keller1, Grigoriy Mashkevich

  • 1Division of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.

Facial Plastic Surgery : FPS
|November 20, 2009
PubMed
Summary

The endoscopic forehead lift is a preferred aesthetic surgery. Mastering this technique requires expertise in endoscopic equipment, surgical goals, and anatomical changes for effective brow-forehead rejuvenation.

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Muscles for Facial Expressions

The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...

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Area of Science:

  • Plastic Surgery
  • Minimally Invasive Surgery

Background:

  • The endoscopic brow-forehead lift has become a leading procedure in aesthetic surgery.
  • Successful outcomes depend on technical skill, understanding surgical objectives, and anatomical knowledge.

Purpose of the Study:

  • To review the senior author's experience with endoscopic forehead lifting.
  • To provide a detailed, stepwise approach to this complex surgical procedure.

Main Methods:

  • Review of the senior author's experience with endoscopic forehead lifts.
  • Delineation of a stepwise surgical approach.
  • Highlighting key aspects of patient care, equipment, and anatomy.

Main Results:

  • The manuscript details a comprehensive approach to endoscopic forehead rejuvenation.
  • "Keller's rules of fours" are presented as surgical pearls.

Conclusions:

  • Safe and reliable endoscopic forehead lifting is achievable with expertise and meticulous technique.
  • This review offers valuable insights for surgeons performing endoscopic brow-forehead lifts.

Related Experiment Videos

Last Updated: Jun 18, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
09:53

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Published on: July 5, 2021