[Frontal and subcutaneous temporal closed lifting without endoscopy: technique and indications]

This new technique of fronto-temporal facelift first described by Tranck Trepsat, while permitting very limited incisions for an endoscopic approach, also allows results at least as good without use of the endoscope. It also provides a simple and elegant solution to the problem of temporary fixation in all closed facelifts: the temporary self-tapping self-breaking rivet, this paper is based on the first series of 28 patients. A distinction is drawn between two frontal regions, identified by their characteristic mode of ageing, and treated selectively by "periscopy". For the fronto-lateral region and the temple: here it is the cutaneous layer which ages and sags; it is treated by subcutaneous dissection. For the median frontal region; it is the whole cutaneo-muscular tissue which ages and sags. This is treated by subgaleal elevation with a rugine from the three superior marking points. This new technique of facelift is based on a more detailed analysis of the fronto-temporal ageing process, and on selective treatment for it. It achieves a return to normal appearances. The main factor is lateral lifting. The short scars and the avoidance of the need for video-endoscopy make this a quick and economical procedure.