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Page 14 of 21 Ramirez. Plast Aesthet Res 2020;7:25 I http://dx.doi.org/10.20517/2347-9264.2019.78
Figure 15. Observe the beautification of the periorbital area. Patient had endoforehead, endomidface and concomitant laser resurfacing
of the face. No upper or lowerblepharoplasties were required
Figure 16. Another patient with endoforehead, endomidface. No upper blepharoplastywas done. Lower blepharoplasty required skin
only excision
more than lift. Volume augmentation takes up the anterior-posterior dimension more than the vertical
dimension. The forehead lift also relaxes the frontal muscle. Because of the vertical elevation of soft tissues in
the midface, it effaces the tear trough deformity. In cases that you need more building material the composite
tissues due to the deep dissection allows you inject fat in the intermediate and or superficial planes, Bichat’s
fat pad can be mobilized over the lower malar area or implants can be introduced to correct different areas
(malar, para-nasal, orbital rim). Perhaps these are the most significant differences to other techniques
described. In this technique the lower eyelid and midface are treated as one aesthetic unit. It simplifies
lower blepharoplasty because you provide support from below and the central SOOF fills-in the tear-
