Endoscopic Brow Lift: Anatomy, Patient Selection, and Surgical Technique

The document from April 2018 details the endoscopic brow lift, a facial rejuvenation procedure targeting brow ptosis, and emphasizes the importance of understanding anatomy, patient selection, and surgical technique for successful outcomes. Vito C. Quatela, MD, with over 1,200 procedures performed, reports a revision rate of less than 1%, temporary neurapraxia in about 1% of cases, permanent paresis in one patient, and a 6.2% incidence of postoperative paresthesia. The authors argue that the success of the surgery is more dependent on the release of specific anatomical structures and adequate muscle resection than the suspension method used. They note that periosteal readhesion regains preoperative strength 12 days post-surgery and that while complications can occur, they are generally rare and manageable. The endoscopic brow lift is presented as a transformative, safe, and effective technique for addressing facial aging.