Endoscopic Temporal Tunnel Approach for Brow, Midface, and Periocular Rejuvenation

In recent years, endoscopic upper and midface rejuvenation techniques have advanced dramatically with the advent of endoscopic dissection in the sub-SMAS plane. The temporal tunnel approach exploits this tissue plane in the midface via a small incision in the temporal hair. The author has used this approach to elevate the midface, manipulate the position of the lateral canthus, and perform endoscopic upper blepharoplasty without the need for skin removal. The temporal tunnel can be used as a stand-alone procedure or as an adjunct to endoscopic brow and face lifting. This article presents the technique and its advantages compared with other approaches.