Facial plast Surg 2001; 17(1): 003-010
DOI: 10.1055/s-2001-16361
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Endoscopic Forehead Lifting and Contouring

Thomas Romo III1,2,3 , Andrew A. Jacono1 , Anthony P. Sclafani1,2
  • 1Department of Otolaryngology-Head and Neck Surgery; The New York Eye and Ear Infirmary, New York, NY
  • 2Division of Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York, NY
  • 3Division of Facial Plastic Surgery, Lenox Hill Hospital, New York, New York
Further Information

Publication History

Publication Date:
31 December 2001 (online)


The concept of endoscopic foreheadplasty is based upon a sub- or supraperiosteal dissection of the parietal, occipital and frontal scalp, incision and release of the superior and lateral orbital periosteum, selective myotomies of the brow depressor muscles, and brow elevation into a desired position with fixation and healing. A significant limitation of this procedure appears to be the ability to predict the long-term forehead and brow elevation.

We review the anatomy relevant to forehead rejuvenation surgery and present our surgical technique for permanent fixation endoscopic forehead lifting. We discuss the scientific rationale for permanent fixation to ensure long-term forehead and brow position and draw our conclusions based upon the results of animal and clinical studies that have been completed.