Forehead Lift Vs. Endoscopic Forehead Lift?

There are several approaches to rejuvenating the forehead including endoscopic and open approaches. The best approach usually accounts for several factors:Hairline- Patients with high hairlines may benefit from a hairline lowering procedure (open approach), while some endoscopic techniques can alter hairline. Concomitant Procedures- Patients with an endoscopic midface lift are often best served with an endoscopic browlift. Office Setting vs Operating Room- Some patients may wish for only lateral brow elevation. This can be done in an office setting quite comfortably for the patient.

Thank you for your question. A forehead or brow lift can be performed using a variety of techniques. A coronal brow lift is the traditional method, which involves an incision across the entire brow within the hairline. It is reserved for patients in need of the most correction - I rarely use this technique. The endoscopic brow lift uses smaller incisions and specialized tools to produce the lift patients want. This procedure results in shorter recovery times for many patients and less scarring after surgery. This is the technique I use for the majority of my patients. For patients requiring minimal correction, I also offer the one-centimeter brow lift, which features the smallest incisions and the shortest recovery period. This technique is offered by few surgeons, but can be an excellent option for patients who want improvement but can't afford the time off for a more extensive procedure. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person, discuss your concerns and goals at length, and tailor the best surgical plan for you.

Endoscopic means we use small cameras to do most of the lifting and work through small incisions. This allows a quicker recovery, less scar but at the same time less longevity and precision.I prefer a direct (Open) forehead lift. It is more predictable, longer lasting and more effective in my hands.Every patient is different though and the endoscopic approach is right for some.The best advice is to get a facial analysis by an experienced surgeon who can give you realistic expectations.Hope this helps.Best of luck,Drc

There are many different ways to perform a brow or forehead lift. Endoscopic approach has become very popular, it results in very little scars that are hidden in the hair line. Open brow leaves a long scar either at hair line or behind the hairline. I prefer the endoscopic approach if a patient is a candidate, due to both less scarring and quicker recovery. In experienced hands they both should result in excellent outcome in the right patient.

The answer really comes down to how much of a forehead lift you need, and if you have a place to hide an incision.  There are several ways to perform a forehead lift (we do it 9 different ways in our office).  The deciding factor has to do with how much of a lift the person needs.  An endoscopic browlift, which is very popular, is minimally invasive, doesn't raise the hairline, gives a 2-3 mm raise, and lasts about 5 years on average.  A trichophytic browlift (second most popular) creates an incision across the hairline but gives a higher raise, lasts longer, but can create some more downtime and a bigger scar that is usually not a problem in most individuals but still a consideration. 

Hi there, I recently wrote a three part editorial series on Forehead lifting as well as eyebrow procedures. I discuss in great detail how this works. I think rather than repeat myself, you can check out the link below. I am sure you will find it helpfull.Dr James P. BonaparteFacial Cosmetic and Reconstructive SurgeryHead and Neck SurgeryOttawa, Ontario, Canada