Objective. To analyze the feasibility and potential advantages of robot-assisted upper face rejuvenation surgery, as well as available tools for these procedures.

Material and methods. We chose upper face rejuvenation surgery as a model since we usually perform endoscope-assisted interventions in this area. Subperiosteal-subtemporal-parietal rhytidectomy was performed simultaneously with upper and lower blepharoplasty in 2 patients and blepharoplasty in 3 patients. The da Vinci Si robotic surgical system (Intuitive Surgical, Inc.) was used for dissection. A 30° stereo endoscope 12 and 8.5 mm, as well as 8- and 5-mm instruments were used.

Results. We identified the following advantages of robotic surgery: superior visualization, image scalability, no tremor, scalable range of motion, high freedom of movement exceeding human capabilities, quick and easy switching between the endoscope and any instrument, higher comfort for surgeon. The disadvantages were cost, long learning curve, no tactile feedback and instruments specifically designed for aesthetic surgery.

Conclusion. Aesthetic results were identical to those after endoscopic interventions. However, robot-assisted dissection is faster and easier. Better visualization reduces the risk of damage to frontal nerve. Surgeon fatigue is lower. In addition, remote surgical intervention is possible. Similar to endoscopic procedures, robot-assisted methods will enter plastic surgery. These methods will definitely be in demand in the future.

Keywords. robot-assisted operations, plastic surgery, minimally invasive surgery, da Vinci robot, robotic surgeries