Two doctors reference a Limited Incisison Lateral Browlift. How is that different from a endoscopic brow lift? And is that different from a temporal brow lift, also mentioned in the Q & As. If so, how is a lateral lift different from a temporal lift, and when is each indicated? Thank you.
How is a Lateral Browlift Different from an Encoscopic Brow Lift?
Doctor Answers (14)
Difference between the 'Lateral/Temporal' Browlift and the Endoscopic Browlift
The age of the patient, the type of descent of the brow they demonstrate and the training/skill of the surgeon will lead to a diverse number of approaches being recommended. The temporal/lateral browlift is good at tightening an slightly lifting the outer portion of the brow and opening up the corner of the eyes ( the 'crow's feet' area). The endoscopic approach offers this improvement but also frees the central portion of the brow to allow the entire brow and forehead skin to be elevated as a unit. The classical browlift utilizes an incision behind or just along the hairline and mobilizes the entire scalp as a unit as well. Patients will dense hair and a lower hairline can utilize this approach if desired. Remember that different surgeon will often have a favorite or perhaps just a single way of dealing with all brow issues. Make sure your surgeon can discuss each approach with you and why 'his' approach is the preferred approach. Best of Luck Dr Harrell
Lateral brow lift versus endoscopic browlift
Dear mchip, The lateral brow lift does just what is says pulls the brows laterally which personally I think gives an unnatural appearance. When I perform an endoscopic brow lift it is done with four small incisions in the scalp and I elevate all the way to the malar region allowing a mid face and brow lift at the same time. This gives a very natural appearance as you are simply shifting the upper quadrant of the face back into it's pre aging position. This is a very highly effective technique and you can see many photos of this procedure on my website as well as on real self photographs. The patient ultimately looks the same as they did ten years earlier providing a nice natural youthful appearance. Best regards, Michael V. Elam, M.D.
Multiple different techniques for brow lifting
A lateral lift to the eyebrow will simply elevate the outer lateral most portion of the eyebrow without performing anything else. There is very few patients who require only a lateral brow lift. Most patients require the entire forhead and brows to be elevated as a unit. A. endoscopic brow lift involves placement of 3-5 incisions in the scalp and adjusting the brow position upwards and softening the corrugator muscles. A coronal brow lift involves making the incision at the hairline or behind the hairline. A coronal browlift can raise or lower the hairline, depending upon where the patient's pre-existing hairline is. During a coronal brow lift the frontalis muscle, the corrugator muscle, and procerus muscle can all be softened and adjusted. This will help prevent the brow from being pulled down from the muscle in the postoperative phase. Softening the corrugator muscle also could help address the vertical frown lines between the eyebrows. Fascia grafts are also placed between the dermis and muscle to prevent the vertical frown lines from returning. The coronal approach gives a much more consistent and reliable brow lift in our hands.
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Brow Lift Techniques: Endoscopic and Temporal (Lateral)
Almost all patients eventually benefit from brow lifts to correct the sagging thick brow skin as it descends into the upper eyelid area. Browlifts can be done many different ways, through the forehead skin above the brows in preexisting wrinkles, through the hairline of the temples, and endoscopically through 4 small incisions in the scalp, which includes the limited lateral incision area in the temporal hairline. Most patients need lateral lifting at the outside portion of the brows than towards the middle-this is important to achieve a natural and not a "surprised" look. You should look at your self in the mirror and photographs with your surgeon to agree which portions of your brow need lifting, then decide on which approach will best achieve the results you want.
Difference in Lateral Temporal Brow Lift and Endoscopic Brow Lift
A lateral and temporal brow lift are essentially the same thing. It is usually done blindly or under direct vision through a slightly larger incision in the temporal hair. While it is possible to get some mid as well as lateral brow lift with this approach by releasing the temporal decussation (the junction between the layer on top of the skull and the lateral muscle), it is best for lateral brow descent and bunching of the tissues lateral to the eyes (the crow's feet areas). An endoscopic lift releases this area and also the more medial brow. It usually also resects the muscles between the eyebrows that cause wrinkles there. Since it is done with the endoscope, one can see all landmarks and avoid any possible problems and also get a much better release and elevation of the brow. Both have their place and which method used depends on your needs. Instead of researching the different methods, seek a consultation with someone who is familiar with all the methods and can select what you need to achiever your desired result.
Endoscopic vs. lateral or temporal browlift.
Endoscopic vs. lateral or temporal browlift differs in the way the brow is pulled. I do not like temporal or endoscopic forehead lifts as the temporal- lateral brow lift raises the outer part of the brow and often makes the person look evil> The endoscopic brow lift is fine IF you have a low hairline since the brow is raised straight up and the HAIRLINE IS ELEVATED. #5 years ago we invented the Irregular Trichophytic Forehead Lift that not only raises the brow but also the hairline is not raised and can be lowered.
Lateral browlift vs endoscopic forehead lift
A lateral (temporal) browlift lifts only the outer part of the brow, more of a reorientation of the brow. An endoscopic forehead lift elevates the entire forehead and both brows more or less evenly across. Follow the link for more details.
Lateral browlift vs endoscopic browlift
There are at least 6 different variations in browlifting depending on patient's needs [women vs men, skin type, hairline, degree of droop, etc]
In general, a 'temporal' browlift is used synonymously with "lateral" browlift. This is used in patients with a modest droop of the outer corner of the brow. The incision is usually made either at the temple hairline or a bit behind [depending on the hairline]. This technique will not be helpful in patients that need the entire brow lifted or have a severe droop of the corner of the brow.
Endoscopic browlifting does elevate the entire brow lift. The incisions are "limited" to a few spots behind the hairline in the scalp. This is a good technique in patients with a normal or low hairline, a moderate droop at most. In general, its results are not quite as long lasting as an open [hairline browlift]
Hope this helps
You are referring to 2 different things: 1) the surgical approach and 2) the areas addressed. The endoscopic browlift uses small incisions through which the endoscopic equipment is placed to perform the procedure whereas a limited incision uses incisions that may be a little longer but without endoscopic equipment. A lateral lift essentially refers to the temporal region, which is the outer part of your brows, not the side closer to your nose. Please consult with a board certified specialist who can best assist you in achieving the results you seek.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.