Abstract

We are seeing an increasing number of patients for secondary and tertiary rhytidectomy. Conventional techniques for secondary rhytidectomy exaggerate central oval laxity and lateral tightness. Endoscope-assisted subperiosteal techniques in a “virgin” plane of dissection permit a vertical lift to correct aging facial changes without objectionable aesthetic sequelae. In the past 3 years we have performed secondary and tertiary rhytidectomies on 23 patients using endoscope-assisted subperiosteal techniques. Results have been excellent with minimal complications.

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