An outer-table suspension technique for endoscopic browlift

For the past 2 years, we have sought to develop a stable and reliable technique for soft-tissue suspension in the endoscopic browlift, while eliminating the need for permanent or temporary anchoring screws. To this end, we have developed an outer calvarial table fixation technique. This technique allows direct fixation of the periosteum or galea to the outer table of the frontal bone through the use of an outer table calvarial tunnel. The technique has been used in 34 patients, 21 of which were followed for more than a year. The results have been consistent and reliable. We feel this technique affords precise control of soft tissue suspension during endoscopic browlift, providing long-lasting elevation and lateral advancement of the brow complex.