Forehead augmentation can be done but can affect the results of previous browlifts

Philip Young, MD answers: Forehead augmentation after Endoscopic Browlift?

After an endoscopic browlift is performed, is it still possible to get a forehead augmentation using implants (silicone, bone cement, etc)? With the coronal forehead lift, I know that while the forehead is exposed, you can insert an implant, but how would this work with an endobrow?


Philip Young, MD
3 months ago

You can augment the forehead with silicone after a browlift. One of the issues is that the augmentation will affect what was done with the previous browlift and you will sometimes need to refix the brows and allow them to fixate in the newer position.

Browlifts depend on the fixation of the bone to the bone covering and the soft tissue that covers the forehead. When you dissect to implant something into the forehead it will break that bond. Also with the implant fixating the brows to a new position will present some challenges as well depending on where the implant is placed. Implants placed in the forehead can establish needed volume that is lossed with aging. Most of the time, however, forehead augmentation is used to fill in defects from trauma and for reconstructive purposes.

Also, depending on what implant is used and the size you may need longer incisions such as a variation of the coronal incision that goes from ear to ear. Not all of this incision is needed most of the time. In terms of augmentation, you can use silicone sheets / blocks, radiesse, restylane, juvederm, perlane, or fat augmentation. Silicone and fat are the options that offer more of a longer lasting results with silicone being more permanent than fat.

Fat injections, however, can be done with no incisions most of the time with less downtime associated with long incisions. Augmenting the forehead can potentially help with wrinkles in the forehead, eyebrow drooping, extra eyelid skin and temple hollowing depending on how and where the augmentation is done.

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A: Forehead augmentation is usually not needed during or after a browlift

William Portuese, MD
4 months ago

Forehead augmentation is usually not needed during or after a browlift. It is probably not a good idea to put silicone bone cement or implants into the forehead unless there has been a significant and severe trauma to the forehead where the forehead has been caved into the frontal sinus and a huge reconstructive augmentation is needed. This is usually not performed through an endoscopic approach but through an open coronal approach.

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