Download PDF
Semin Plast Surg 2008; 22(1): 043-049
DOI: 10.1055/s-2007-1019142
© Thieme Medical Publishers

Suture Fixation Technique for Endoscopic Brow Lift

Andreas Foustanos1
  • 1Associate Professor of Plastic Surgery, Athens, Greece
Further Information

Publication History

Publication Date:
20 February 2008 (online)

    Permissions and Reprints

ABSTRACT

Endoscopic brow lift has become widely accepted as a procedure for restoring a youthful brow, as only three, hardly noticeable incisions of the scalp are needed for this subperiosteal dissection and final repositioning of the brow. It has become an acceptable technique, an alternative to the conventional technique or transcoronal browpexy. Endoscopic brow lift allows separation and repositioning of the periosteum of the orbital rims and zygomaxilla. In a 7-year period beginning September 1999, 350 patients underwent endoscopic brow lift. In these patients, we used our fixation approach, which was accomplished with an absorbable suture subperiosteally. Satisfactory forehead rejuvenation was obtained in all patients with correct eyebrow movement. Long-term results over 7 years confirm the strength and durability of our fixation approach. We consider this approach to be a simple, fast, and reliable fixation technique that establishes precise, secure, and direct brow fixation that allows satisfactory and long-lasting cosmetic results.

KEYWORDS

Suture fixation - endoscopic brow lift

REFERENCES

  • 1 Core G B, Vasconez L O, Askren C et al.. Coronal face lift with endoscopic techniques.  Plas Surg Forum. 1992;  15 227
    PubMedGoogle Scholar
  • 2 Isse N G. Endoscopic facial rejuvenation: endoforehead, the functional lift. Case reports.  Aesthetic Plast Surg. 1994;  18 21-29
    PubMedGoogle Scholar
  • 3 Ramirez O M. Endoscopic techniques in facial rejuvenation: an overview. Part 1.  Aesthetic Plast Surg. 1994;  18 141-147
    PubMedGoogle Scholar
  • 4 Ramirez O M. Endoscopic subperiosteal browlift and facelift.  Clin Plast Surg. 1995;  22 639-660
    PubMedGoogle Scholar
  • 5 Rohrich R J, Beran S J. Evolving fixation methods in endoscopically assisted forehead rejuvenation: controversies and rationale.  Plast Reconstr Surg. 1997;  100 1575-1582
    CrossrefPubMedGoogle Scholar
  • 6 Ramirez O M. Endoscopic full facelift.  Aesthetic Plast Surg. 1994;  18 363-371
    Google Scholar
  • 7 Pozner J N. Simplified fixation for endoscopic brow lifts: self-tapping, drill-free posts.  Plast Reconstr Surg. 1999;  103 1326
    PubMedGoogle Scholar
  • 8 Eppley B L, Coleman J, Sood R et al.. Resorbable screw fixation technique for endoscopic brow and midfacial lifts.  Plast Reconstr Surg. 1998;  102 241-243
    CrossrefPubMedGoogle Scholar
  • 9 Niazi ZBM, Salzberg C A. Endoscopic forehead lifts: the postoperatively adjustable technique.  Plast Reconstr Surg. 1998;  101 2006
    PubMedGoogle Scholar
  • 10 Taylor C O, Green J G, Wise D P. Endoscopic forehead lift: technique and case presentations.  J Oral Maxillofac Surg. 1996;  54 569-577
    CrossrefPubMedGoogle Scholar
  • 11 Pakkanen M, Salisbury A, Ersek R. Biodegradable positive fixation for the endoscopic brow lift.  Plast Reconstr Surg. 1996;  98 1087-1091
    PubMedGoogle Scholar
  • 12 Landecker A, Buck J, Grooting J. A new resorbable tack fixation technique for endoscopic brow lifts.  Plast Reconstr Surg. 2003;  111 880-886
    CrossrefPubMedGoogle Scholar
  • 13 Chasan P E, Kupfer D M. Direct K-wire fixation technique during endoscopic brow lifts.  Aesthetic Plast Surg. 1998;  22 338-340
    CrossrefPubMedGoogle Scholar
  • 14 Loomis M G. Endoscopic brow fixation without bolsters or miniscrews.  Plast Reconstr Surg. 1996;  98 373-374
    PubMedGoogle Scholar
  • 15 Mixter R C. Endoscopic forehead fixation with histoacryl.  Plast Reconstr Surg. 1998;  101 2006-2007
    PubMedGoogle Scholar
  • 16 Kobienia B J, Van Beek A. Calvarial fixation during endoscopic brow lift.  Plast Reconstr Surg. 1998;  102 238-240
    CrossrefPubMedGoogle Scholar
  • 17 Muller G-H . Endoscopic forehead lift: the subperiosteal pulling stich.  Aesthetic Plast Surg. 1996;  20 297-301
    PubMedGoogle Scholar
  • 18 Jones B, Grover R. Endoscopic brow lift: a personal review of 538 patients and comparison of fixation techniques. Plast Reconstr.  Surg. 2004;  113 1242-1250
    CrossrefPubMedGoogle Scholar
  • 19 Hoenig J F. Rigid anchoring of the forehead to the frontal bone in endoscopic facelifting: a new technique.  Aesthetic Plast Surg. 1996;  20 213-215
    PubMedGoogle Scholar
  • 20 Mckinney P, Sweis I. An accurate technique for fixation in endoscopic brow lift: a 5-year follow up.  Plast Reconstr Surg. 2001;  108 1808-1810
    CrossrefPubMedGoogle Scholar
  • 21 Putterman A M. Intraoperatively controlled small-incision forehead and brow lift.  Plast Reconstr Surg. 1997;  100 262-266
    CrossrefPubMedGoogle Scholar
  • 22 Daniel R K, Tirkanits B. Endoscopic forehead lift: an operative technique.  Plast Reconstr Surg. 1996;  98 1148-1157
    PubMedGoogle Scholar
  • 23 Schur P L, Don S A. Forehead and brow lift. In: J. Weinzweig Plastic surgery secrets. Philadelphia, PA; Hanley and Belfus 1999
    Google Scholar
  • 24 Romo T, Sclafani A P, Yung R T et al.. Endoscopic foreheadplasty: a histological comparison periosteal refixation after endoscopic versus bicoronal lift.  Plast Reconstr Surg. 2000;  105 1111-1117
    CrossrefPubMedGoogle Scholar
  • 25 Mckinney P, Celetti S, Sweis I. An accurate technique for fixation in endoscopic brow lift.  Plast Reconstr Surg. 1996;  97 824-827
    CrossrefPubMedGoogle Scholar
  • 26 Guyuron B, Michelow B J. Refinements in endoscopic forehead rejuvenation.  Plast Reconstr Surg. 1997;  100 154-160
    PubMedGoogle Scholar
  • 27 Foustanos A, Zavrides H. An alternative fixation technique for the endoscopic brow lift.  Ann Plast Surg. 2006;  56 599-604
    CrossrefPubMedGoogle Scholar

Andreas FoustanosM.D. 

Associate Professor of Plastic Surgery, 32, Kifisias Avenue

Megaro “ATRINA,” 151 25 Paradeisos Amarousiou, Athens, Greece

      >