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Endoscopic or Full Forehead Surgery to Lift Eyelids?

Is endoscopic or full ear to ear forehead surgery the best choice to lift the eyelids? I have no forehead wrinkles but skin over (outside) of brow needs lifting

Asked 29 months ago by freddietz11@comcast.net in NJ sore
Sort 14 expert answers by:
+2

Browlift Options Should Be Individually Evaluated

Every case needs to be evaluated individually before determining the best browlift approach. The endoscopic browlift is typically best for having the eyebrows move in an upward and more open direction, while the hairline incision approach has greater control of the positioning of the brows. This is something that needs to be determined between the patient and doctor.
Jeffrey S. Epstein, MD
Miami Facial Plastic Surgeon
+2

It depends on the hairline

The two brow lifting methods I employ are the endoscopic approach and the tricophytic (open) approach. The method chosen depends on the hairline, because each method has a potential advantage and a potential disadvantage. I never use a coronal approach in cosmetic procedures, because it contains both disadvantages: a long incision and it lifts the hairline. The majority of my patients prefer the endoscopic approach because it involves 4 small incisions. Small absorbable devices known as... more
Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
+2

Endoscopic vs coronal brow lift?

Coronal (ear to ear) brow lift is more effective but it is more invasive and creates numbness of the scalp. I usually perform a procedure which is endoscopic ( preserves the nerves) but involves removing the forehead skin in the upper lateral forehead in the prehairline area. This way you get an effective lift and no numbness of the scalp and a minimally invasive procedure.
Farhad Rafizadeh, MD
Morristown Plastic Surgeon
+2

Different ways of lifting the brow

Hi Freddie, From the description that you give of your problem it sounds that less invasive procedures would be better in your situation. An ear to ear forehead lift is not done too often anymore and would be overkill in your case. The endoscopic brow lift may help you, but we often find that it is not the best procedure for all comers. A transblepharoplasty brow lift with an Endotine device may be ideal in some cases and a subcutaneous brow lift via a small incision in the hair line can... more
Andres Gantous, MD
Toronto Facial Plastic Surgeon
+1

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
+1

Endo vs open browlift

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. Good luck  
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Direct eyebrow lift is most effective brow lift method to lift eyelids

Be certain that you do not need a blepharoplasty to correct eyelid ptosis, hooding of the eyes or Dermatochalasis. If you have excess eyelid skin, removal of the excess eyelid skin and not a brow lift is what is required to correct eyelid hooding. Brow lift procedures are designed to lift the eyebrow and correct brow ptosis or sagging brow. Brow lifting can pull the eyebrow skin off of the upper eyelids, but usually not lift significantly lax and excess upper eyelid skin. The eyebrow at its... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
+1

Endoscopic vs. Open Brow Lift

This is an age old question. Which is better? The reality is that the open brow lift gives a much better, long lasting result. The reason is that sagging brows are the result of excess skin and only the open brow lift removes this excess skin. The problem is that the large incision is very noticeable, especially when the hair is wet. So the endoscopic brow lift gives a good lift with not as long lasting a results but without the noticeable scar. I would recommend the endoscopic brow... more
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+1

Temple lift

The most effective and direct way of lifting the outer portion of the eyebrow to rejuvenate the eye area is through a temple lift. This is performed through a small incision behind the hairline. No foreign materials are used to keep the brows elevated and it is the least invasive approach. It is most often performed under local anesthesia. Hope this helps.
Min S. Ahn, MD
Westborough Facial Plastic Surgeon
+1

Probably won't need long incision brow lift; trust an experienced surgeon

When you are researching surgical techniques, you will gain important information to help you ask better questions during your consultation. I would not recommend brow lift as a method to primarily improve the eyelids, but it does help the eyebrows and heavy under-eyebrow skin. It also improves frown lines between the brows and forehead lines and looseness. These benefits can generally be obtained with endoscopic, short-scar methods. There are many modifications that may be used. In the... more
Sutton Graham II, MD
Greenville Plastic Surgeon
+1

Forehead lift vs eylift surgery

A forehead lift by any method lifts the forehead skin, repositions the eybrows but has minimal effect on the eyelids. An ear to ear incision is rarely done (My last one was about 15 years ago). Most common area for brow elevation is in the lateral aspect of the brows (look at top model brows in fashion magazines) and this lifts up the forehead skin that descended and crowds the lateral upper eyelid. Even after brow repositioning I find that I need to procede with an upper eyelid... more
George Marosan, MD
Bellevue Plastic Surgeon
+1

Lateral subcutaneous brow lift will probably help you.

Hi! 1) The "ear to ear " forehead lift is basically obsolete. 2) Endoscopic brow lift, when properly done, is effective for many people. 3) To lift the outer (lateral) brows, I think the least invasive procedure is the lateral subcutaneous brow lift. This is done through a short incision in the hair, and just lifts the outer brows.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Botox and Fillers for Eyebrow Lifting

Dear Freddietz11, Plastic surgeons call the "full ear to ear" brow lift a coronal brow lift. Nowadays, this procedure is rarely indicated. I recommend this technique only when the patient has severe eyebrow drooping: both medially (in the upper nasal region) and laterally (at the tails of the eyebrows) What may be better options are limited surgical procedures: The limited techniques can effectively raise the outer/lateral eyebrows by 3-5 millimeters: endoscopic brow... more
Michael C. Pickart, MD
Ventura Plastic Surgeon
+1

Endoscopic or Coronal Brow Lift

Brow repositioning has come along way in the last 20 years. Full coronal lifts(ear to ear) rarely are necessary to get most patients a pleasing result. A consultation with an experienced surgeon who does a lot of facial rejuvenation surgery will help clear things up. From your description you may be a candidate for a "limited temporal lift", which is effective for elevating the outer 1/3 to 1/2 of the brow and involves a much shorter scar in the temporal region. This procedure... more
John E. Gross, MD
Los Angeles Plastic Surgeon
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