EVOLUTION FROM ENDOSCOPIC TO MINIINVASIVE FACELIFT - A LOGICAL PROGRESSION

Endoscopy has revolutionized the field of aesthetic surgery, permittin g the advent of cosmetic surgery via minimal incisions. The procedures are modifications of subperiosteal lifting techniques which grew out of craniofacial surgery. Nonetheless, the cumbersome instrumentation a nd changes in operator technique have led to the development of a subp eriosteal facelift through minimal incisions without the aid of endosc opy. This miniinvasive approach has yielded equivalent results to our endoscopic rhytidectomies in appropriate patients, with reduced morbid ity, edema, and operating time. Further, it permits the avoidance of p reauricular scars in the majority (84%) of patients; 63 cases are pres ented, with a followup of up to 4 years.