BACKGROUND: Endoscopy was first used in plastic surgery for the treatment of frontal
rhytides. This minimally invasive approach allows the treatment of frontal wrinkles using a
practical procedure that does not directly interfere with the frontalis muscle, acting only
on its antagonists.
It is also possible to treat the middle third of the face, but these evolutions depends on
special surgical instruments. Videoendoscopic approach in rhytidoplasty have been improved by
new devices and surgical instruments.
The mid third of the face can be treated in different ways. Zygomatic projection can be
achieved by the use of the Dissector Assisted Malar Elevation (DAME) procedure.
AIM: Evaluate the zygomatic projection achieved by DAME in videoendoscopic rhytidoplasties.
METHODS: 30 non-white female patients, 30 to 59 years old, will be submitted to
videoendoscopic rhytidoplasty with malar elevation by the DAME. Pre- and post-operative
facial appearance will be evaluated by digital photogrammetry.