摘要

Objectives: The primary objective of this initiative is to introduce new minimally invasive procedures within the realms of authentic medicine and surgery Introduction: The escalating demand for minimally invasive aesthetic procedures has catalyzed the advancement of innovative techniques that yield rejuvenating outcomes without necessitating extensive surgical interventions. This study presents a novel methodology for the transposition and fixation of tissues that avoids additional skin excision during Noninvasive forehead and facelift procedures. This technique employs endoscopic and US guidance to facilitate precise tissue dissection and manipulation Materials / method: A prospective study was conducted involving 711 female patients and 47 male patients, aged 24 to 74 years, who underwent Minimally invasive forehead and facelift surgeries between January 2017 and March 2025. The procedures involved the transposition of forehead and facial tissues towards the temporal and occipital areas, executed without traditional skin excision. Temporal lines were employed for tissue fixation, thus eliminating the need for fixation devices such as screws or Endotines. Endoscopic and US visualization techniques were utilized to ensure precise tissue repositioning Results: A total 758 patients underwent a Minimally-invasive forehead and facelift procedure, with no major complications reported. The evaluation of patient satisfaction was based on post-operative consultations, facial dimension measurements, and pre- and post-operative photographs for determining the level of satisfaction with the aesthetic outcomes. The results demonstrated reduction in wrinkles, elevation of sagging tissues, and overall rejuvenation. 82% reported high levels of satisfaction and 15% of patients reported moderate improvement. Conclusion: The transposition of tissues without the excision of excess skin, as well as the elimination of screws, Endotines, and other devices for tissue fixation under endoscopic and ultrasound guidance, represents a promising advancement in the field of Minimally-invasive facial rejuvenation. This technique facilitates the precise repositioning of tissues, yielding natural and youthful results while avoiding the scarring typically associated with conventional skin resection procedures. Furthermore, the reduced invasiveness and shorter recovery times associated with this approach