Two Endoscopic Surgical Approaches to Facial Rejuvenation: A Longitudinal Study on Safety and Patient Satisfaction.

Background: Face lift techniques have greatly evolved in the last decades. Compared with more traditional methods, an endoscopic approach has the advantage of providing access to deeper structures while reducing extensive dissection of the face. The main objectives of this study are to assess the postoperative complications, aesthetic results, and patient satisfaction following 2 different face lift approaches. Methods: We conducted a hybrid longitudinal observational study. According to patients' preference, an upper two-thirds face lift (using a minimal endoscopic approach with blepharoplasty) or a full face lift was performed (including deep superficial musculoaponeurotic system dissection). Follow-up visits were scheduled up to 12 months postsurgery. At each visit, a standardized physical examination was conducted to assess sensory nerve function, and the House-Brackmann classification was used for motor nerve testing. The FACE-Q questionnaire was also administered to assess self-reported outcomes of satisfaction. Results: A total of 35 patients underwent a facial rejuvenation procedure. Most sensory nerve disturbances resolved, except in 1 case, and all motor nerve disturbances had resolved by 12 months postsurgery. Other visible side effects had virtually disappeared at 12 months, with 1 persistent case of tightness and 1 of alopecia. Patient satisfaction regarding facial appearance and surgical results was high (overall median Rasch score of 76 and 73, respectively). Conclusions: Endoscopic facial surgery can be used for facial rejuvenation with few surgical complications. Our results suggest that endoscopic facial surgery is safe and that patients are satisfied with this technique.