Lift the Lateral Brow with a Peri-temporal Trichophytic Brow Lift?

Hi Dianne, I agree with the others that there is a potential risk of visible scars when the incision is extended to the more lateral temple region. I was a member of the group that originally developed endoscopic plastic surgery procedures and have been performing endoscopic browlifts for years. I will add a pretrichal incision to lower the hairline where indicated. You say that you have temporal hooding in the eyebrow and a high forehead. If a pretrichal or "trycophytic" procedure is recommended, you might consider hair transplants to that area after the browlift healed to hide the scar if it remained visible 

This is a great procedure and I dont think the scar even if its bad is really an issue. If your forehead is that high maybe consider doing a classic coronal brow lift

      The lateral trichophytic brow lift in the right patient has the advantage of not distorting the hairline and obviously improves the lateral hooding.  The scar in poor scar formers may be an issue. 

 

Kenneth Hughes, MD Los Angeles, CA

Pretrichial (trichophytic) lateral forehead/brow lifting is a very good effective technique that is also safe. It is the most common technique that I use in my practice in females. The incision is made along the lateral temple hairline, which heals and hides very well.  It can be done under local anesthesia.

I perform trichophytic, endoscopic, temporal, direct, or transblepharoplasty browlifts, depending on your hairline and hair density, skin thickness, and degree of brow droop. A temporal browlift  may work very nicely for you, and can be done either in front of the hairline or behind the hairline depending on your hair density and growth pattern on the temple. Trichophytic browlifts tend to be the excellent for patients that have high foreheads, and if you do not need your medial brows lifted much, that portion can be done relatively conservatively.

If you would like post a photo, or better yet come in a for evaluation, a more personalized recommendation can be provided.