ENDOSCOPIC FRONTAL LIFT USING FLEXIBLE IN STRUMENTS - THE NEW APPLICATION OF AN ALLOY WHICH CAN BE COLD-FORMED IN MINIMALLY INVASIVE SURGERY

The endoscopic frontal lift is the endoscopic operation carried out mo st frequently in facial plastic surgery. Tightening the subperiostal m obilised frontal soft tissue is the most important aspect of the opera tion. Various instruments have been developed for dissection. The cent ral problem is that the curvature of the skull calotte increases betwe en the coronal suture and the orbital margin. We developed, together w ith the Karl Storz Company, instruments which can be bent by the surge on to be suitable for use on these topographical features. For differe nt suspension techniques for tightening the frontal soft tissues which were not satisfying we developed a technique by using periostal flaps of the same width as of the skin incisions selected, thus eliminating the need to use metal screws.