An outer-table suspension technique for endoscopic browlift

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Minimally Invasive Procedures

Background:

• Endoscopic browlift techniques often rely on screws for soft-tissue suspension.
• Existing methods may present challenges with stability, reliability, or the need for hardware removal.
• A need exists for screwless fixation in endoscopic browlift procedures.

Purpose of the Study:

• To develop and evaluate a novel outer calvarial table fixation technique for endoscopic browlift.
• To achieve stable and reliable soft-tissue suspension without the use of anchoring screws.
• To provide precise control and long-lasting results in brow elevation and advancement.

Main Methods:

• Development of an outer calvarial table fixation technique involving a calvarial tunnel.
• Direct fixation of periosteum or galea to the outer table of the frontal bone.
• Application of the technique in 34 patients, with 21 followed for over one year.

Main Results:

• The technique demonstrated consistent and reliable results in soft-tissue suspension.
• Achieved precise control over brow elevation and lateral advancement.
• Provided long-lasting aesthetic outcomes without the need for screws.

Conclusions:

• The outer calvarial table fixation technique is a stable and reliable method for endoscopic browlift.
• This screwless approach offers advantages in soft-tissue suspension and brow contouring.
• The technique provides predictable and durable results for patients undergoing browlift surgery.