Minimal scar facelift for „undetectable surgery” – Endoscopic techniques in facial rejuvenation and beautification
目标: The technique will be demonstrated with anatomical drawings, intraoperative videos and before and after photographs.
介绍: Younger and younger patients are seeking facial rejuvenation and beautification. Those patients want to avoid the stigmata of traditional facelifts, which has given a rise to the „undetectable surgery” philosophy.
材料 / 方法: Early sagging and moderate skin excess make those young patients perfect candidates for endoscopic facial rejuvenation. Endoscopic approach utilizes skin incisions hidden in the hair-bearing skin, making the scars inconspicuous. It allows the extensive release of upper and middle face to achieve stable and long-lasting lift. Proper release of facial ligaments is crucial to avoid relapse.
结果: Release of temporal crest, lateral orbital thickening and upper eyelid skin down to the eyelid crease allows significant brow rotation, moderate release of the central forehead prevents the „surprised look”. Partial transection of orbicularis oculi and - when desired - procerus and corrugators facilitates unopposed traction of frontalis muscle, making the lift not only static, but also dynamic. Midface release in the supraperiosteal layer involves release of the orbital retaining ligament, zygomatic retaining ligament and tissues above the zygomatic major muscle up to the modiolus.
总结: Forehead and temple lift allows brow rotation, redraping tissues of the upper eyelid and improving the canthal tilt. Midface lift accentuates the the volume over zygomatic arch and redraping of orbicularis oculi smoothes transition between lower eyelid and cheek. Endoscopic approach is an ideal tool for „undetectable surgery”.
