Which is Better, Endoscopic Brow Lift or Ultherapy, to Lift Brow Position 3-5 Mm?

asked 8 months ago by jenny22 in San Diego, CA
Latest answer by Sam Naficy, MD
Question viewed 252 times
Tags: alternative, options

I have a naturally low brow and am concerned with the excess skin and hooding (hereditary) that began to appear in my late 30's (I am currently 45 y.o.) A number of board certified cosmetic surgeons have agreed I need a brow lift in conjunction with an upper bleph. Aware that a brow lift will alter my appearance, I want to go very conservative with the brow lift. Botox has worked well, but I'm looking for something longer lasting. Thank you in advance for your advice.

11 answers to Which is Better, Endoscopic Brow Lift or Ultherapy, to Lift Brow Position 3-5 Mm?

Conservative brow lift

The best option is either an endoscopic brow lift or a temporal brow lift. Ulthera is a bit of a wild card and the long-term results are just not there.

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Beware of brow lifts! Focus on the lateral hood!

Be very careful when asking for a brow lift, you might get it. If you look up brow lift results in published papers and before and afters you will see that many surgeons successfully lift the brow. Unfortunately a true brow lift makes patients look scared or surprised! It is almost never necessary to elevate the medial third of the brow. Many women actually benefit aesthetically from a slight lowering of the medial third. On the contrary, there are few women... more

Rian Maercks, MD
Miami Plastic Surgeon

www.rianmaercksmd.com

Endoscopic Browlift vs. Ulthera

Great question: The two main non-surgical browlift approaches are Botox and Ulthera. They work very well in the appropriate candidate. Endoscopic browlift is a more powerful browlifting method but for more advanced drooping of the brows. We have combined volume restoration with Ulthera to address the true cause of brow drooping with great success in early to moderate aging changes. For more advanced changes of the brows that also have eyelid hooding, then endoscopic browlift with... more

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon

Brow lift options

There are many different brow lift options available to a patient. The hairline must be addressed. The level of the medial brow and lateral brow needs to be considered as well as the function of the corrugator, procerus, and frontalis muscles prior to making any decisions regarding a brow lift. 3-5 mm is a nice conservative brow lift. The upper blepharoplasty can also be done at the same time.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Ultherapy will not raise brow position; you need a forehead lift to do that!

Let me repeat: Ultherapy will not lift your brows. Only surgery will give lasting results, and most all forehead lifts and many eyelid surgeries tend to be once-in-a-lifetime procedures. A proper assessment of your upper eyelid excess skin and "hooding" will tell you how much of this apparent excess is actually due to your brows being abnormally low (at or below the orbital rim), and how much is true excess upper eyelid skin. For most patients, it is a combination of both,... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Ultherapy vs Brow Lift

The answer for you, because of your criteria of wanting “something more permanent,“ is easy. You need a brow lift. Almost all of full brow lifts today are done endoscopically. This, when done well, will not alter your appearance, only enhance it, and will be permanent. Treatments like Ultherapy, to my knowledge, have never, using controlled blinded studies, been shown to be more long lasting than a number of months.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Endoscopic Brow Lift & Other Options

A surgical brow lift will provide a long lasting result as opposed to Botox injections. Your hairline position should be evaluated when deciding what technique is best for you because the endoscopic lift will elevate your hairline. A trichophytic hairline incision, which we developed many years ago, will maintain or improve the hairline position if that is necessary.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Endoscopic browlift would give you the desired results

An endoscopic browlift is a great procedure for the concerns you have. A browlift procedure when done properly should not altar your appearance to look pulled it should give you back your appearance before the aging process took place. An endoscopic browlift is ideal for your complaints and age range. The face starts showing it's first signs of aging in the brow and eyes. With an endoscopic browlift you are not removing skin you are simply undermining the area and shifting it back to it's... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

Ultherapy or Surgical Brow Lift: Which is better?

As I do both procedures, I can tell you without hesitation that surgery is better. I can achieve greater lift and more precision with a surgical approach. This is not the decision that you need to make, however. What I tell my patients is that there is a trade-off with either approach. Surgery will give you better results but has more risk of complications and higher cost. Ultherapy is the opposite; less risk and cost but lesser results. You just need to... more

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Brow Lift Options

Endoscopic brow lifts are an excellent option to acheive a moderate amount of brow lift - often providing just a little more than can be achieved with Botox. Be aware that getting a brow lift will not eliminate the need for on going Botox injections to achieve a smooth, unstressed brow.

Andrea Nowonty Hass, MD
Palm Beach Oculoplastic Surgeon

www.hassplasticsurgery.com

Browlifts give permanent results.

Browlifts give permanent results and there are essentially 2 ways to do this. One is the endoscopic browlift which gives mild improvement and is behind the hairline and therefore, raises the hairline when done. The other we invented called the Irregular Trichophytic Forehead lift which elevates the brow better and the hairline can be lowered at the same time. The scar has hair grow thru and in front of it. I have never had a scar which required any revision in thousands of procedures. more