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Endoscopic Temporal Tunnel Approach for Brow, Midface, and Periocular Rejuvenation
1Private Practice, 9675 Brighton Way, Suite 340, Beverly Hills, CA 90210, USA.
Facial Plastic Surgery Clinics of North America
|November 7, 2025
Summary
The temporal tunnel approach offers advanced endoscopic midface rejuvenation. This technique elevates the midface and performs upper blepharoplasty without skin removal, enhancing facial aesthetics.
Area of Science:
- Plastic Surgery
- Minimally Invasive Procedures
Background:
- Endoscopic techniques have revolutionized upper and midface rejuvenation.
- Dissection in the sub-superficial musculoaponeurotic system (SMAS) plane is a key advancement.
Purpose of the Study:
- To present the temporal tunnel approach for endoscopic midface rejuvenation.
- To detail its application in elevating the midface and performing upper blepharoplasty.
Main Methods:
- Utilizing the temporal tunnel approach via a temporal incision.
- Dissecting in the sub-SMAS plane for midface elevation.
- Performing endoscopic upper blepharoplasty without skin excision.
Main Results:
- Successful midface elevation and lateral canthus repositioning.
- Endoscopic upper blepharoplasty achieved without skin removal.
- The technique is versatile, usable as a standalone or adjunct procedure.
Conclusions:
- The temporal tunnel approach is an effective endoscopic technique for midface rejuvenation.
- It offers advantages over traditional methods, particularly in upper blepharoplasty.
- This method provides a minimally invasive option for comprehensive facial lifting.

