关键词: 恢复时间, 中上面部年轻化, 内镜提升

Abstract: ［Abstract］ Objective To evaluate the effect of different surgical anatomical levels of upper and middle facial rejuvenation under endoscopy. Methods 192 patients undergoing endoscopic facial lift from November 5， 2015 to November 5， 2018 were divided into control group and observation group， 96 in each group. In the control group， the fascia ligament of orbicularis oculi was dissected under the frontal periosteum， the orbicularis oculi retaining ligament and the lateral orbital thickening were dissected under the periosteum， and the zygomatic supporting ligament was dissected under the periosteum of the anterior auricular incision， and the zygomatic and buccal ligament was dissected under the periosteum of the auxiliary intraoral incision， and then lifted up the face. The fascia ligament of orbicularis oculi and orbicularis oculi retaining ligament were dissected under galea aponeurotics in the observation group， and the lateral orbital thickening was cut off from the surface of deep temporal fascia. The zygomatic support ligament and zygomatic buccal support ligament were dissected at the same level， and the zygolabial sulcus was broken along the suborbicularis oculi （SOOF）. The effect and satisfaction of the two groups were compared and analyzed. Results The satisfaction rate of cosmetic effect was 95.6% in the study group and 60.9% in the control group. There was significant difference between the two groups（P<0.05）. Conclusion Endoscopic treatment of orbicularis oculi supporting ligament， orbital ligament， zygomatic supporting ligament， lateral orbital thickening， zygomatic buccal ligament and buccal lip ligament disruption on deep fascia is a new and meaningful surgical method with high satisfaction and quick recovery.

Key words: facial lift, endoscope, facial rejuvenation