Endoscopic Frontoplasty for Treating Facial Aging

Abstract

Introduction: In the modern concept of facial rejuvenation, the main thing is to achieve a natural result without surgical marks. The endoscopic fronto-temporo-orbital lifting is currently the best method to achieve this.

Objective: To determine the effectiveness of the endoscopic frontoplasty technique for the treatment of facial aging.

Methods: A descriptive observational study of a series of 28 cases with a diagnosis of facial aging treated at the National Center for Minimal Access Surgery in the period from January 2014 to January 2017 was carried out. The variables of: sex, age, marital status, schooling, race, surgical time and intraoperative complications.

Results: The mean age was 54.4 (40-73) years. The female sex prevailed (89.3%). The average level of schooling 61.5%, married marital status 52.0%. Ptosis of the eyebrows with the presence of frontal and glabellar wrinkles was the most frequent diagnosis 13; 46.4%. The mean surgical time was 80.9 (40-120) minutes. There were no intraoperative complications, conversions, or reinterventions. In 27 patients (96.4%) there was permanence of the results over time. Complications occurred in 4 patients (14.3%). There were 19 patients treated as outpatients (67.9%), with a hospital stay of one day (32.1%). All showed satisfaction with the results obtained.

Conclusions: Endoscopic foreheadoplasty is a minimally invasive and very effective method for repositioning lowered eyebrows, as well as treating frontal and glabellar wrinkles.

Keywords: endoscopic frontoplasty; facial rejuvenation; facial aging; lifting fronto-temporo-orbital endoscope; endoscopic surgery.