Suture fixation technique for endoscopic brow lift.

Endoscopic brow lift has become widely accepted as a procedure for restoring a youthful brow, as only three, hardly noticeable incisions of the scalp are needed for this subperiosteal dissection and final repositioning of the brow. It has become an acceptable technique, an alternative to the conventional technique or transcoronal browpexy. Endoscopic brow lift allows separation and repositioning of the periosteum of the orbital rims and zygomaxilla. In a 7-year period beginning September 1999, 350 patients underwent endoscopic brow lift. In these patients, we used our fixation approach, which was accomplished with an absorbable suture subperiosteally. Satisfactory forehead rejuvenation was obtained in all patients with correct eyebrow movement. Long-term results over 7 years confirm the strength and durability of our fixation approach. We consider this approach to be a simple, fast, and reliable fixation technique that establishes precise, secure, and direct brow fixation that allows satisfactory and long-lasting cosmetic results.