“Effects of Subperiosteal Midfacial Elevation via an Endoscopic Brow-Lift Incision on Lower Facial Rejuvenation”
Rami K. Batniji, M.D., Williams EF 3rd
Facial Plastic Surgery, Volume 21, Number 1, 2005
Many techniques have been developed for rejuvenation of the midface. This article describes the technique of subperiosteal midface elevation via an endoscopic brow incision approach developed by the senior author and reviews the results of this technique, with specific emphasis upon the effect on lower facial rejuvenation.
The endoscopic subperiosteal midfacial elevation of the midface via an endoscopic brow incision approach is a safe, reliable method of midfacial rejuvenation. Further evaluation of this technique demonstrated the added benefit of lower facial rejuvenation as well; both subjective and objective jowl elevation has been appreciated following this technique. Although experience has demonstrated the benefits of this technique, the limitation of inadequate effacement of the nasolabial fold has been appreciated. Therefore, more recently, the senior author has performed facial contouring with lipostructure to supplement the endoscopic subperiosteal midfacial elevation of the midface for midfacial rejuvenation with promising results.
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