Facial Plast Surg 2003; 19(2): 147-156
DOI: 10.1055/s-2003-40001
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Midfacial Rejuvenation Via an Endoscopic Browlift Approach: A Review of Technique

Edwin F. Williams III1 , Samuel M. Lam2
  • 1Division of Otolaryngology, Department of Surgery, Albany Medical College, and the Williams Center for Facial Plastic Surgery, Albany, NY
  • 2Lam Facial Plastic Surgery Center, Dallas, TX
Further Information

Publication History

Publication Date:
24 June 2003 (online)

ABSTRACT

The middle third of the face has remained a particularly challenging area for facial plastic surgeons to rejuvenate. Many approaches have been advocated, but no one favored technique predominates. The surgical technique of the senior author is reviewed, which has been successfully employed for the past 7 years and which has proven an effective technique in restoring midfacial youth without concomitant lateral-canthal distortion or significant morbidity. The intended objectives of this article are for the reader to understand the specific details of how to perform this technique and the rationale proposed for how a natural midface elevation is achieved by this method.

REFERENCES

  • 1 Dempsey P D, Oneal R M. Subperiosteal brow and midface lifts.  Aesthet Plast Surg . 1995;  19 59-68
  • 2 Ramirez O M. The subperiosteal approach for the correction of the deep nasolabial fold and the central third of the face.  Clin Plast Surg . 1995;  22 341-355
  • 3 Hinderer U T. Vertical preperiosteal rejuvenation of the frame of the eyelids and midface.  Plast Reconstr Surg . 1999;  104 1482-1499
  • 4 Yaremchuk M J. Subperiosteal and full-thickness skin rhytidectomy.  Plast Reconstr Surg . 2001;  107 1045-1056
  • 5 Kaye B. A subperiosteal approach as an improved concept for correction of the aging face.  Plast Reconstr Surg . 1988;  82 393-398
  • 6 Psillakis J F, Rumlay T O, Comargo A. Subperiosteal approach as an improved concept for correction of the aging face.  Plast Reconstr Surg . 1988;  82 383-389
  • 7 Maillard G F, Cornette de St Cyr B, Scheflan M. The subperiosteal bicoronal approach to total facelifting. The DMAS-deep musculoaponeurotic system.  Aesthet Plast Surg . 1991;  15 285-289
  • 8 Hobar P C, Flood J. Subperiosteal rejuvenation of the midface and periorbital area: a simplified approach.  Plast Reconstr Surg . 1999;  104 842-851
  • 9 Anderson R D, Lo M W. Endoscopic malar/midface suspension procedure.  Plast Reconstr Surg . 1998;  102 2196-2208
  • 10 Quatela V C, Davis K G. Rejuvenation of the brow and midface.  Operat Tech Otolaryngol Head Neck Surg . 1999;  10 160-168
  • 11 Ramirez O M. The central oval of the face: tridimensional endoscopic rejuvenation.  Facial Plast Surg . 2000;  16 283-298
  • 12 Keller G S, Namazie A, Blackwell K, Rawnsley J, Khan S. Elevation of the malar fat pad with a percutaneous technique.  Arch Facial Plast Surg . 2002;  4 20-25
  • 13 Owsley J Q, Fiala T GS. Update: lifting the malar fat pad for correction of prominent nasolabial folds.  Plast Reconstr Surg . 1997;  3 715-721
  • 14 Owsley J Q. Elevation of the malar fat pad superficial to the orbicularis oculi muscle for correction of prominent nasolabial folds.  Clin Plast Surg . 1999;  22 279-293
  • 15 Rounds M F, Cheney M L, Quatela V C. Endoscopic facial surgery.  Facial Plast Surg . 1998;  14 217-226
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