Abstract
The endoscopic subperiosteal facelift as an isolated procedure is indicated for patients with grade I rhytidosis. It is also indicated in cases of grades II and III rhytidosis in males in whom the coronal incision is contraindicated due to alopecia and without conspicuous damage to the forehead. In these cases, the procedure is combined with subcutaneous rhytidectomy of the neck. It can also be used in cases of secondary facelift. The small incisions used in this procedure allow sufficient and effective access for dissection and suspension of the tissues released during the facelift. The coronal incision is not necessary, thus avoiding the resulting discomfort and scar. These patients do not receive anesthesia and experience almost no paresthesia in the frontal region, as in cases in which a coronal incision is performed. The endoscopic approach reduces surgical trauma as well as postoperative edema. Since neither the veins nor the lymphatic vessels of this area are sectioned, swelling subsides faster and recovery is shorter.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Core GB, Vasconez LO, Askren C, Yamamoto Y, Gamboa M: Coronal face lift with endoscopic techniques. Plast Surg Forum XV: 227–228, 1992
Bosse JP, Papillon J: Surgical Anatomy of the SMAS at the Malar Region. Transactions of the 9th International Congress of Plastic and Reconstructive Surgery. New York: McGraw-Hill, 1987, p 348
Fuente del Campo A: Face lift with no preauricular scars. In Plastic Surgery II. Rotterdam: Elsevier, 1992, p 531
Fuente del Campo A: Face lift without preauricular scars. Plast Reconstr Surg 92: 642, 1993
Fuente del Campo A: Ritidectomia subperiostica. Un metodo de rejuvenecimiento facial sin cicatricez preauriculares. An Med 38: 15, 1993
Fuente del Campo A: Cirugia reparadora del envejecimiento facial sin cicatricez visibles. Cir Cirujan 60: 123, 1993
Fuente del Campo A: Endoscopic dissection and suspension in face lift. Presented at the IIIrd Workshop on Aesthetic Surgery of the Facial Skeleton, Tampere, Finland, September 6–10, 1993
Fuente del Campo A: Centrofacial lifting. Persp Plast Surg 7: 87, 1993
Fuente del Campo A: Subperiosteal face lift, open and endoscopic approach. In: Ramirez MO (ed): Syllabus of the 3rd Annual International Workshop on Aesthetic Surgery of the Face, Baltimore, MD, 1994
Fuente del Campo A: Subperiosteal face lift, open and endoscopic approach. In: Owsley J (ed): Syllabus of the Symposium on Aesthetic Surgery of the Face, San Francisco, CA, 1994
Fuente del Campo A: Subperiosteal face lift with stage suspension. A facial restoration method without preauricular scars. In: Psillakis J (ed): Deep face-lifting techniques. New York: Thieme Med. Publ., in press
Furnas DW: The retaining ligaments of the cheek. Plast Reconstr Surg 83: 11, 1989
Isreal H: Age factor and the pattern of change in craniofacial structures. An J Phys Anthrop 39: 111, 1973
Isreal H: Recent knowledge concerning craniofacial aging. Angle Orthod 43: 176, 1973
Isse N: Endoforehead. The functional lift. Presented in the Symposium on Aesthetic Surgery of the Orbit, Eye-lid and Ear, Ixtapa, Zihuatanejo, Mexico, February 17–19, 1993
Isse N: Endoscopic facial rejuvenation: endoforehead, the functional lift. Case reports. Aesth Plast Surg 18: 2129, 1994
Liang M, Narayanan K: Endoscopic ablation of the frontalis and corrugator muscles. A clinical study. Plast Surg Forum XV: 54, 1992
Maillard GF, de St. Cyr C, Scheflan M: The subperiosteal bicoronal approach to total facelifting: the DMAS deep muscoloaponeurotic system. Aesth Plast Surg 15: 285, 1991
Psillakis JM: Subperiosteal approach as an improved concept for correction of the aging face. Plast Reconstr Surg 82: 383, 1988
Ramirez OM, Maillard GF, Musolas A: The extended subperiosteal face lift: a definitive soft tissue remodeling for facial rejuvenation. Plast Reconstr Surg 88: 227, 1991
Ramirez OM, Fuente del Campo A: Facial rejuvenation: subperiosteal brow and face lift. In: Riley SR (ed): Instructional Courses. St. Louis: C.V Mosby, 1993, vol 6,p 41
Ramirez MO, Fuente del Campo A: Subperiosteal brow and face lift (endoscopic approach). Instructional course 62th Annual Meeting of the American Society of Plastic and Reconstructive Surgeons, New Orleans, LA, September 19, 1993
Ramirez MO: Endoscopic techniques in facial rejuvenation. An overview. Aesth Plast Surg 18: 141, 1994
Santana PM: Metodologia craneomaxilofacial en ritidoplastias. Cir Plast Ibero-Latinoam 10: 322, 1984
Stuzin JM, Wagstrom L, Kawamoto HK, Wolfe SA: Anatomy of the frontal branch of the facial nerve: the significance of the temporal fat pad. Plast Reconstr Surg 83: 265, 1989
Tessier P: Lifting facial sous-perioste. Ann Chir Plast 34: 193, 1989
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fuente del Campo, A. Subperiosteal facelift: Open and endoscopic approach. Aesth. Plast. Surg. 19, 149–160 (1995). https://doi.org/10.1007/BF00450251
Issue Date:
DOI: https://doi.org/10.1007/BF00450251