Endoscopic browlifting

Brow lift was traditionally performed with a coronal technique which meant an incision across the top of the head from ear to ear.  The forehead was undermined and pulled back, essentially raising the brows. This left many patients with some hair loss and some sensory loss in the scalp. 

Endoscopic brow lifting accomplishes the same brow elevation through small hidden incisions behind the hairline. A TV Telescope is then inserted underneath the forehead to allow the surgeon to visualize the release of the brows from below. Once this is accomplished, the brows are fixated in a more youthful position using absorbable endotines in the incisions. 

The whole operation takes approximately 45 minutes to perform.  To see if this is the right procedure for you, a consultation is a great first step. Hope this helps

Dr. D.

A traditional brow lift may describe two approaches to lifting and rejuvenating the brows. The first approach, called a "bicoronal" technique, uses an incision from one ear to the next over the top of the scalp. This technique is still used in many plastic surgery operations (correcting congenital skeletal craniofacial abnormalities and in traumatic facial fractures), but it does have complications, scalp numbness and hair loss along the incision which necessitated a less invasive approach, i.e. endoscopic. The other approach is a "direct" brow lift which places the scar directly over the eyebrow...used for patients with thicker eyebrow that conceal the scar better (i.e. men!).

The endoscopic technique has been explained very well in the previous threads, but quickly it uses a series of small incisions to allow access for a small endoscope or TV camera. The scope shows the surgeon exactly what h/she needs to see and where the tissues need to be released to allow "lifting". The forehead skin is then suspended with a dissolvable endotack (similar to a carpet tack) at the proper position. I think the added advantage to the endoscopic brow lift too is we are able to release the muscle between the brows that lead to the dreaded "11's" that need frequent treatments of Botox. A real bonus for patients!

I hope this helps!

Good Luck-

Dr. C

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