Therapeutic, IV.

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The endoscopic deep periorbital lifting is a surgical technique for rejuvenation of the upper two-thirds of the face. The operative principle is the suspension of the premalar tissues to the superficial temporal aponeurosis. This operation decreases the height of the inferior eyelid, corrects the nasolabial fold, and enhances the relief of the cheekbone. We have studied 50 consecutive cases operated on between 1995 and 1999; 70% had good to excellent results. The cutaneous palpebral resection must be inferior or equal to 5 mm to avoid the risk of a postoperative round eye. The subperiosteal undermining of premalar tissue gives the best results and lowers the risk of transitory facial paresis.