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Forehead-midface lift did not significantly alter lateral canthal position

Endoscopic forehead-midface lift effectively addressed patients’ midface descent without significantly changing the position of the lateral canthus, according to study results.

“Many surgeons are reluctant to offer this procedure for fear of change in the shape and appearance of the eyelid,” the researchers wrote.

Investigators studied photometric data using before and after surgery images of 40 patients (35 women) who underwent endoscopic forehead-midface lift surgery, with a mean of 13 months between surgery and postoperative photographs.

Horizontal width, vertical height and palpebral fissure width or angle between the medial and lateral canthi were determined through photographic analysis. Right and left eyes were evaluated independently using a two-tailed paired t test.

The horizontal axis of the right (P=.25) or left (P=.07) lateral canthi showed no statistically significant changes after surgery. Vertical axis of the right (P=.99) or left (P=.72) lateral canthi, palpebral fissure width of the right (P=.28) and left (P=.48) eyes, and lateral canthal angles of the right (P=.99) or left (P=.30) eyes also displayed no statistically significant changes.

“The endoscopic forehead-midface lift is a reliable method of addressing midface descent,” the researchers concluded. “This study objectively identified no significant differences in the horizontal width, vertical height, palpebral fissure width, or angle of lateral canthus before and after surgery.”

Disclosure: The researchers report no relevant financial disclosures.