Endobrow-Midface Lift: A Safe and Effective Technique for Facial Rejuvenation

The document from 2004 describes the endobrow-midface lift, a surgical technique aimed at rejuvenating the upper two-thirds of the face with minimal complications. This endoscopic method involves dissection, incision, selective muscle removal, and repositioning of facial tissues. It is considered safe and effective, with a less than 1% rate of revision surgery and temporary neuropraxia, and other short-term complications like hematoma and transient alopecia being rare. Temporary hair loss occurs in about 5% of patients, but hair typically regrows within 3 to 9 months. The procedure has been performed over 600 times by the senior author, demonstrating its reliability. The use of an endoscope is emphasized for its advantages over traditional methods, including reduced scarring and alopecia. A study by Williams et al supports the authors' findings, and a surgical modification by the authors has reduced the deflection of the lateral canthal angle, a potential issue with the procedure.