Endoscopic techniques for facial rejuvenation offer a variety of alter
natives that can be tailored to the patient's facial aesthetic and agi
ng characteristics. The author approaches facial dissection in the cen
tral third of the face primarily. In cases of severe rhytidosis or exc
ess skin, a peripheral skin excision with minimal undermining can be a
dded. Step by step descriptions of the author's preferred techniques a
re illustrated. A classification of subperiosteal lifts for better und
erstanding of the complex methods of rejuvenation is introduced.