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Coronal Forehead Lift for Young Patient?

I am in mid 20's (female) but already have issues with horizontal forehead wrinkles/folds, very apparent even with the slightest effort to look up.

Today, I met with my plastic surgeon (who performed Asian blepharoplasty on me few years ago with very satisfactory/natural results), and he recommended Forehead lift for lasting results.

I did some research later and found out what he explained to me was "coronal Forehead lift," which seemed unnecessarily invasive especially for a patient in her 20's. I called his office, and apparently he does not perform Endoscopic Forehead lift. Is that normal, should I find another doctor?

Asked 29 months ago by brokenbovine in New York

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Coronal Forehead Lift for Young Patient?

The first thing I would tell you is that your complaints of lines in your forehead is better treated with Botox then surgery. As a 20 year old, it is probably way too early to start with a forehead lift, especially a coronal. Botox effectively treats forehead lines. The down side is that it needs to be re-injected every 3 to 5 months. As for your question regarding coronal versus endoscopic brow lift, I don't see why you would need such an invasive procedure as... more

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Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

Coronal vs Endoscopic Forhead Lift

Ah, yes the great debate. First, to answer your question no a patient in their 20's does not need a coronal brow lift. The endoscopic brow lift utilizes 3-5 1 inch incisions perpendicular to the hairline. The forehead tissue is elevated at the level of the bone down to the brows. Usually the scalp is elevated posterior to the incisions as well. Now days endotines which resemble dissolve-able carpet tack strips are attached to the skull, the tissue is elevated and pushed onto the... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Coronal Lift in a 20 year old patient: No Way

As other surgeons have mentioned, there are so many ways to address forehead lines including chemical (Botox) and surgical approaches. A Coronal brow lift is, in my opinion, a historical approach with very little relevance in contemporary facial rejuvenative procedures. Patients with an acceptable hairline can be addressed endoscopically, and patients with a high hairline can be addressed with a trichophytic approach. A coronal approach raises a hairline and requires a large incision. The... more

Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon

Please don't let someone perform a coronal forehead lift on you

Dear Brokenbovine I think Dr. Sonne is right in encouraging you to consider BOTOX. While the results are temporary it may be just what you are looking for. If you need more effect, a forehead lift may be appropriate but not a coronal lift. The coronal lift is a surgery performed by cutting from one ear to the other, all the way through the scalp. This makes an huge incision that damages the scalp and can cause permanent hair and sensation loss. Variations include moving the incision to along... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Coronal brow lift

It is difficult to answer this question without seeing your photos. Your surgeon may be right in suggesting a coronal lift if you have a low hairline (short forehead) and very droopy brows. Otherwise go for Botox or an endoscopic brow lift.

Sam Naficy, MD

Seattle Facial Plastic Surgeon

Forehead lift techniques: Match the patient to the appropriate technique!

For a woman in her 20's with deep transverse forehead lines, I would doubt a maximally-invasive coronal browlift would be the best option. It is VERY likely that an endoscopic browlift will suit your needs quite nicely. Even with a high hairline, a skilled endoscopist can accomplish an effective and durable lift endoscopically.

Laxmeesh Mike Nayak, MD

Saint Louis Facial Plastic Surgeon

Coronal lift in 20 year old

Excellent surgeons debate the benefits of endoscopic or small incision lifts vs the traditional coronal forehead lift. I am not sure you even need a forehead lift--you might be very happy with the results of Botox or Dysport which might be highly successful in delaying the need for a forehead lift. But I agree--no coronal lift in someone in their 20's.

Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

Coronal forehead lifts are probably unnecessary in patients of all ages. Stick to endoscopic approaches.

From my standpoint, there are no advantages and certainly some significant disadvantages of performing a coronal vs. endoscopic brow lift. I think you need to consider chemodenervation initially with botox or dysport, and then look into surgery only as needed. In my experience there are very few patients in their 20's or even 30's that really would require surgery. Surprisingly, botox or dysport can really open the eyes and provide a slight brow lift when completed by... more

Todd Christopher Hobgood, MD

Phoenix Facial Plastic Surgeon

Forehead Lift, Brow Lift, Forehad lines

At 20 years old, I'd be surprised that your Eyebrows would be low enough to warrant a Brow or Forehead Lift of either kind (Coronal or Endoscopic). I do both types of Brow Lifts but the youngest patient was 27. Yes, some plastic and comsetic surgeons still prefer the Coronal Brow Lift or Forehead Lift as there are no sutures, screws or threads required to keep the Brows elevated as are used in and Endoscopic Brow Lift. I also feel that the Coronal Brow Lift is a much... more

Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

Endoforehead lift vs coronal lift

Coronal lift produce scars and occasionally hair loss along the scars. Endoforehead lift is minimally invasive, less scar and produces excellent result when done completely.

Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon

Young patient forehead lift

A forehead lift in a 20 year old seems aggressive. I would consider starting with Botox.

Samer W. Cabbabe, MD

Saint Louis Plastic Surgeon

Coronoal browlifts are excellent for forehead rejuvenation

Coronal browlifts are excellent for forehead rejuvenation. In my practice, I have found the Endoscopic browlifts to achieve excellent results in younger patients. Endoscopic approach is less invasive and may be more reasonable.

Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon

Forehead lift approaches

Each physician has their preference for approaches to forehead lifts. At your young age, I would suggest botox + fillers or fat injections to improve your wrinkles. While there are no hard and fast rules about age and cosmetic surgery, in my experience most 20 year old patients would not benefit from a forehead lift and the risks would not outweight the benefits. But again, without an examination I can't make that determination in your case.

D.J. Verret, MD

Dallas Facial Plastic Surgeon

Botox instead of forehead lift for lines

Some surgeons no longer offer endoscopic brow lifts as they feel the improvements are not as dramatic or long lasting as an open brow lift. In your case, a brow lift may not be the best solution. Ask your surgeon if you can try Botox to eliminate the forehead wrinkles.

Karol A. Gutowski, MD

Chicago Plastic Surgeon

ASPS

Coronal lift for 20 year old?

A full coronal lift is an option but I would recommend Botox first followed by considerations for a course of Botox first.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Browlift vs Botox

Being so young, I'd get other opinions. As has been said, you may get by with Boto® for a while. If it makes your eyebrows seem too droopy, my next treatment would be an endoscopic lift. The youngest patient I've done an endobrowlift on was 35.

Mario Loomis, MD

Middletown Plastic Surgeon

ASAPS ASPS

Coronal Browlift in 20's- NO

Small lines can occur with expression of the forehead in the 20's. While most patients who receive Botox are in their early 30's, many patients with early line formation can benefit from select and small doses to the forehead. Their is a limited role for Coronal Browlift in patients who are older than 50 (endoscopic browlift have replaced) and no role for coronal browlift for a patient in their 20's.

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Would not recommend a coronal forehead lift for young patient

Patients today have many good options to alter the shape and position of their forehead and eyebrows. The traditional forehead lift was the coronal brow lift. Patients who received this experienced a significant recovery process and an area of numbness in her scalp. I would not recommend this for young female patient. If you are in your 20s and you're concerned about the appearance of your brow, consider receiving Botox to this area first. This will help soften the forehead... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Do not do a coronal brow lift

I would strongly recommend against this larger procedure in a 20 year old. There are smaller procedures and non surgical options that are more appropriate for a younger patient. A coronal lift will alter/distort your hairline and has other potential issues. See another surgeon.

David Shuter, MD

Jupiter Plastic Surgeon

ASAPS ASPS

Forhead lines in young patients

Dear Brokenbovine, You are probably the perfect candidate for Botox to treat brow lines. Botox is temporary and lasts about 4 months, but it is minimally invasive and works. As you get older (30s 40s), and your brow actually starts to descend, then Botox will not be appropriate and you can consider some brow lift procedure... Visit with someone who does both surgery and injectables and discuss your short/long-term goals. Surgery is not benign, and at your age I would not recommend a... more

Michael A. Bogdan, MD

Dallas Plastic Surgeon

ASAPS ASPS

Absolutely no need for coronal brow lift

Since the advent of endoscopic browlifts 20 years ago, there is absolutely no reason you should have a coronal browlift. Coronal browlifts result in much more scarring, nerve damage, and hair loss than an endoscopic browlift. I commend you on doing your research before having the surgery. You'll save yourself alot of heartache if you find a competent surgeon who is well-versed in endoscopic browlift surgery. That being said, I usually perform browlifts starting in the 30s and 40s. It may be... more

Jonathan Hoenig, MD

Beverly Hills Oculoplastic Surgeon

Forehead Lifting Approaches

In my opinion anyone doing forehead lifting procedures should be skilled in all of the available techniques to accomplish elevation of the brows. Each technique has it's own unique indications. These include the coronal approach, the pre-hairline (trichophytic) approach, the trans-blepharoplasty approach, the mid-forehead approach, and of course the endoscopic approach. In our practice we usually do 50% of our lifts via the endoscopic approach and the remainder as a combination of the... more

S. Randolph Waldman, MD

Lexington Facial Plastic Surgeon

Botox might be a better alternative than surgery

You describe horizontal forehead wrinkles that are apparent when you look up. That sounds to me as though you are bothered by wrinkles that worsen with muscle movement. If I am understanding you correctly, I would think that Botox would be much more effective and much less invasive. Botox relaxes the muscles that cause wrinkles to form and is a very safe, simple procedure. A brow lift is designed to elevate the position of the brows. Although your brows may be in a low position, it is... more