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Ramirez. Plast Aesthet Res 2020;7:25 I http://dx.doi.org/10.20517/2347-9264.2019.78 Page 13 of 21

Figure 13. The endoscopic approach to the central oval in younger patients is calledFacial Beautification. Frontal view of a 36 years old
female patient

Figure 14. Three quarter view of the same patient. She had endoforehead, endomidface, eyelid ptosis repair and fat grafting to several
areas of the face

Endoscopic rejuvenation of the central oval of the face is the cornerstone of facial rejuvenation at any age
(young, old, older). These techniques in isolation can provide the objectives of modern facial rejuvenation
previously outlined. The central face approach alone is done in patients between early 20’s to late 40’s. In
the very young group we use the same lifting, imbricating and volumetric approach used in older patients.
This is done to correct the congenitally prone sagging of the central oval soft tissues. Because lifting or
rejuvenation may have negative connotations in this cohort of patients, we call it “facial beautification”,
because in principle that is what is accomplished [Figures 13 and 14]. One of the advantages of the deeper
approach is that you can manipulate the tissues to obtain volume. The brow lift is a remodeling procedure