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Cosmetology 2015: Scarless immediate facelifts (Endopeel techniques or muscular repositioning)- Alain Tenenbaum- University of Paris, France-Alain Tenenbaum-University of Paris, France

Alain Tenenbaum

The immediate non-invasive true medical face lifts using muscular repositioning without volume augmentation by myoplasty, myopexy and myotension (called Endopeel techniques) may be a new weapon for facial plastic surgeons as cosmetic dermatologists. A true facelift may be a technique resulting in a skin excess which can be removed, to perform an honest skin tension without exaggeration (to avoid necrosis), which without any volume augmentation. The Endopeel techniques can lead if decided by the facial cosmetic surgeon to a pretragal skin excess, which may be removed, which too without volume augmentation. These techniques can be proposed to patients wishing to maintain the benefits of a surgical face lift, to patients which are not candidates for the surgery, to surgeons who want to finish their surgery working on the forbidden areas for the surgery (terminal ramifications of the facial nerve) and/or the areas which aren't reachable form in invasive surgery. The advantages of these techniques are important for the patients: the immediate effect, the absence of scars, the absence of down time, the absence of social eviction, as the transitory complications which are limited only to short duration edema and ecchymosis which may be avoided with the use of some medications. Facial paralysis can benefit too of those techniques to decrease the social aspect official asymmetry.