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Brow Lift - Forehead Lift Surgery


                            Brow Lift or Forehead Lift - Endoscopic Brow Lift

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This brow lift is also known as a "Limited Incision" brow lift - which requires the assistance of an endoscope.  The technique is appropriate when there is a limited amount of excess sagging skin. The coronal brow lift was replaced by many surgeons in the early 1990's, by the endoscopic brow lift.  This procedure allowed the same procedure to be performed through small incisions just behind the hairline. Alternatively somewhat longer incisions at each temple and possibly an incision on the inside of the upper eyelid crease may be considered.

Incisions are made by your plastic surgeon with four to six short (one inch) incisions behind your hairline. Through these small incisions, your surgeon inserts a endoscope (which has a tiny camera on the end of it) to help him guide his way with the surgery.  It is through these incisions that your surgeon will be able to accomplish what a coronal lift will result in with a few exceptions.


                            Endoscopic Brow Lift Procedure - Before and After

                                    Copyright 2007 - A. John Vartanian MD. -


Your surgeon will be able to weaken the furrowed area that is caused by the corragator muscle  but will not be able to directly alter the muscle that contributes to the horizontal wrinkles on the forehead.  With the endoscopic method, the surgeon will be able to lift your forehead but does not remove the excess scalp.  The surgeon merely shifts the excess upward and backward on your skull. 

To secure the scalp in its new position, some surgeons use permanent sutures, or will place tiny screws (which later are removed).  Even using titanium screws does not guarantee the risk of your forehead or brows to droop again, because no scalp is removed like the coronal method.

If you have very droopy brows and deep creases, endoscopic might not be the best method for you.  Endoscopic brow lifts like coronal lifts do raise your hairline, but they do not cause the temporary numbness on top of your head.


                                      Endoscopic Brow Lift Incision Sites

               Illustration from the textbook Baumann L. "Cosmetic Dermatology: Principles and Practice"

                                                    McGraw Hill, Philadelphia, March 2002




Endoscopic Brow Lift Advantages include:
  • Reduces the risk of infection

  • Faster recovery

  • Minimize the amount of scarring

  • Temporary numbness on the top of the scalp is not a problem - like with the coronal lift

  • 50 to 75 percent improvement in wrinkles after an endoscopic lift. Most wrinkles will still be present, but improved.

Endoscopic Browl Lift Disadvantages include:

  • This approach might actually take longer to complete than a Coronal Brow Lift

  • Endoscopic surgeon needs to be fully trained and experienced to perform the surgery

  • Endoscopic brow lifts do not last as long as a Coronal Brow Lift

  • Because the frontalis muscle is not altered, patients who use their forehead expressively may find that horizontal lines are little improved and quick to return.





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