Browlift surgery was traditionally done with an incision from ear to ear across the scalp. The forehead is lifted off the bone and the frown muscles are modified to weaken their function. The brow is lifted and the extra scalp is removed. This has worked well and still is the best procedure for certain patients especially those who have very heavy brows.
The endoscopic browlift attempts do do all that the open coronal lift described above does just through tiny incisions and using a television camera to see the structures. The power of this procedure is less than the open browlift but it is usually enough to get a nice result. Unfortunately the studies indicate that 30% of patients with endoscopic browlifts feel that they didn't get as much as they wanted and 30% of the doctors feel the same way.
Now that Botox is so prevalent, browlift surgeries have dramatically decreased in numbers. Frown lines are now treated with Botox rather than surgery and the only reason to have surgery is if your brows are too low.
