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Does Endoscopic Brow Lift Last As Long As Full Coronal Brow Lift?

I have consulted with several plastic surgeons regarding a brow lift. All recommend an endoscopic approach except one, who recommended a full coronal brow lift. He claims the endoscopic brow lift does not hold up in the long run due to failure of the fixation devices. Is this true? Any comments or recommendations would be appreciated. Thank you.

Asked 26 months ago by jenny22 in San Diego, CA

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forehead

Endoscopic vs hairline vs coronal browlifts

How long an endoscopic browlift lasts depends on how the operation is performed. Endoscopic just means the doctor uses tubes to do the procedure, nothing more. If all the brow attachments are released and fixation is solid, the endoscopic browlift should have great longevity. If the frown muscles are "roughed up a little bit", longevity could be minimal. The more aggressive the endoscopic browlift, the more the hairline will rise (i.e. the forehead will rise). Where the brow... more

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Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Endo vs Open brow lift

A coronal and an endo brow lift are both good operations in the right patient. The endo has less incisions, usually avoidspotential numbness of the scalp and avoids potentatial alopecia of an open brow lift. But may not last as long.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Endoscopic vs Coronal Browlift

Theoretically the coronal browlift will last longer because excess skin is removed. With the endoscopic approach the skin is simply elevated and fixed. The disadvantage of both procedures is hairline elevation, especially with endoscopic surgery. Consider a tricophytic browlift where the incision is made at the hairline to maintain or improve hairline position. Hair will grow through and in front of the incision to improve the hairline.

Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

Endoscopic vs Coronal Brow Lift

First let me say that your surgeon is partly right. The coronal brow lift has advantages over the endoscopic lift. However, it is not due to failure of the fixation devices since many different fixation methods are used. The coronal brow lift involves an incision from ear to ear across the scalp. The tissue is elevated off the bone to the brow level, Small cuts are make in the periosteum, the tissues elevated, the excess is removed and the incision is close. The advantage is that the... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Endoscopic Browlift results longevity

Several factors will weigh in on your surgeon's decision regarding which type of browlift they will choose to employ. The heaviness of the brow and the height of your hairline just two name a couple. With the newer endoscopic browlift fixation devices the longevity and extent of elevation of the brow with endoscopic browlift techniques is comparable to the more invasive coronal browlift. I have also found that the majority of my patients would be willing to exchange a millimeter or two of... more

Philip S. Schoenfeld, MD

Chevy Chase Facial Plastic Surgeon

Coronal vs endoscopic brow lfit

A properly done endoscopic brow lift should last a lifetime. The same could be said for a coronal lift. That being said, not all endoscopicand coronal brow lifts are the same....

Samer W. Cabbabe, MD

Saint Louis Plastic Surgeon

Longevity of Endoscopic Brow Lift

In my opinion, and in my hands, I believe that an endoscopic brow lift has great longevity. There are two basic forms of brow lift: endoscopic and open. I do not believe that a Coronal brow lift has any relevance in brow lift surgery given that there is a better open brow lift option: the Trichophytic Brow Lift. A Trichophytic approach utilizes and irregularly irregular wavy pattern that mimmicks the natural hairline and a bevelled incision to allow hair growth through the eventual scar. A... more

Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon

Brow lift results - coronal or endoscopic

Brow lift surgery is not one specific operation, but rather many potential operations. Each patient is unique and one plastic surgery method may be more appropriate. Each patient must evaluate the various advantages & disadvantages for each procedure. Unlike traditional brow lift surgery that involves an incision across the entire forehead, the endoscopic brow lift is a minimally invasive method of lifting the brows. This minimally invasive plastic surgery is performed via very small... more

Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

Endoscopic vs Coronal Brow Lift

This is a very controversial subject in the field of facial cosmetic surgery. Recent surveys of facial plastic surgeons reveal that approximately 50% of the surgeons around the United States perform open and about 50% perform endoscopic browlift. The endoscopic browlift probably does not hold up as well as a coronal browlift because there is no skin that is removed in the endoscopic approach. The more important aspects to consider when performing a browlift are the level of preexisting... more

William Portuese, MD

Seattle Facial Plastic Surgeon

Different browlifts for different patients

There are different browlifts that can each achieve a good result but it's important for the surgeon the pick the right procedure for an individual patient. Endobrows can work well in a large group of patients, but not in all patients, and those with a lot of loose forehead skin or with a receding hairline, for example, may get a better result with a more traditional approach. Given that you have already had several consults, I would recommend at this point going with the individual... more

Shahram Salemy, MD

Seattle Plastic Surgeon

ASPS

Coronal Lift vs Endoscopic

You need to look at the whole picture. Each has its risks and benefits and it pros and cons. I generally go thru the whole arena of what the pros and cons are for each. I perform all 3 types of browlifts and cater it to the particular person. But in a general comment a coronal lift is a more powerful lift no matter how you look at it and how good you are at the endoscopic lift. The longevity for the endo brow is not so much the fixation, that those has some to do with it, but it is... more

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

Endoscopic VS Hairline Frontal VS Temporal VS Coronal Brow (Forehead) Lift

If there was just one clear winner in the Brow Lift surgical techniques box, ALL of us would be doing it. The reason why there are so many DIFFERENT brow (forehead) lift techniques is that different people require different techniques and that each technique has its own set of negative and positive attributes. In MY opinion a coronal brow lift does "hold up" longer than most endoscopic procedures. This may be due to the wide release and better fixation. BUT - not all people need... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Brow lifts or Forehead lifts

IF endobrows were the definitive solution that they were intially thought to be, then we all would be performing them Clearly, their appeal is the limited incisions. However, there is an increasing trend for limited incision (temporal) forehead lifts.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Endoscopic Brow Lift gives a long lasting result

I would submit that the degree and longevity of the elevation is more a function of how well the tissues are released as well as the heaviness of the tissues themselves rather than the technique itself. The forehead tissues become adhered down well before the fixation device dissolves so I would argue against what the outlying surgeon told you about "failure" of the fixation device. Make sure you talk to a board certified plastic surgeon who has performed both techniques who can... more

Jeffrey Horowitz, MD

Baltimore Plastic Surgeon

ASPS

Endoscopic brow lift is long lasting.

Hi. Coronal brow lift is not a good option for most women. The exact technique chosen is based on your anatomy. Unless your hairline is very high, endoscopic brow lift is a good choice. Otherwise, we use an incision just at the hairline, which allows us to make the forehead narrower.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Endobrowlift vs Open Browlift

It really depends on the degree of brow laxity and the thickness of your skin. Additionally the heighth of the hairline is a major factor is determining how good a candidate you are for the endobrowlift. Thicker skin, more significant brow ptosis, and a high hairline are all poor predictors for the success of an endobrowlift. The skilled facial surgery specialist can perform all of the types of browlifts with equal expertise and knows when to recommend each.

S. Randolph Waldman, MD

Lexington Facial Plastic Surgeon

Coronal versus endoscopic brow lifts

Different surgeons have different degrees of success with endoscopic brow lifts. Long-term results from endoscopic brow lifts are dependent on surgeons being able to release completely the retaining ligaments of the brow, and also on using long-term fixation anchors. Even if done perfectly, the degree of elevation achievable with an endoscopic brow lift is probably not as great as that achievable with a coronal or forehead lift. That being said, traditional brow lifts do have some... more

Sam Jejurikar, MD

Dallas Plastic Surgeon

Endoscopic vs Coronal Brow Lift

There were fixation problems in the early days of endoscopic brow lifts. However, as we improved techniques, we learned better fixation methods and how to release the brow to prevent intrinsic forces from pulling the brow back down. Because of this, I have not done a coronal brow lift in the last 9 years. My results have been even better then what they were previously with the coronal lift (including maintenance of lift), partially because of the other advantages of the endoscopic method. more

Robert T. Buchanan, MD

Highlands Plastic Surgeon

ASAPS ASPS

Longevity of browlifts

It is true that many surgeons are going back to coronal lifts after years of endobrows. If you have a heavy brow or need a lot of lifting, a coronal may be more powerful. Degree of brow release and method fixation have been the issues between these 2 surgeries over the years. I would go to the doctor who has the greatest experience in this area and whose photos of people like you look similar to what you want.