Endoscopic Brow Lift, Upper and Lower Blepharoplasty, Retinacular Canthopexy- Part 2. A surgery video by James M. Stuzin, MD from the 51st Annual Baker Gordon Symposium on Cosmetic Surgery.

This video demonstrates the technique of combining upper and lower blepharoplasty with endoscopic brow lifting. Part 2 of 3.

The upper lid blepharoplasty preserves upper lid orbicularis oculi to maintain upper lid volume, while the lower blepharoplasty utilizes a transconjunctival approach to the lower lid fat in combination with a formal skin flap dissection to address concerns regarding treating lower eyelid skin. Shaping of the lower lid utilizing a lateral retinacular canthopexy as well as resuspension of the lower lid orbicularis oculi is demonstrated. The endoscopic brow lift is preformed via an optical cavity formed via a subperiosteal dissection accessed through a small incision in the lateral upper lid, followed by traditional subperiosteal endoscopic release of the forehead and temporal region. Brow elevation, accentuation of brow arching and brow fixation are performed utilizing an Endotine fixation device.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; eyelid; blepharoplasty; brow lift; retinacular; canthopexy; brow; brow shaping