What Is the Best Brow Lift Alternative? Doctor Answers, Tips
Brow Lift: Q&A
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What Is the Best Brow Lift Alternative?

I am a male, 66, who is almost totally bald. My eyelids are lower -- ptosis, I believe. So far two docs say I need a direct brow lift, one a coronal, one an upper blepharoplasty, one a upper blepharoplasty with an ultrablepharo (lifting the brow with an incision). One says I'm a "pinkie" and that a direct "hairline" scar will fade. ONe says brow lifts on men are passe and don't look good. Is there a right answer? This would be done in conjunction with a face and neck lift.

17 Doctor Answers | Asked by gaston9523
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Brow Lift in Bald Men - Endoscopic Brow Lift

I have performed many of these browlifts in bald men with an endoscopic approach. This can be done with 1.5 cm incisions, which are difficult to appreciate. A direct brow lift may be appropriate as well.
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Brow lift

A coronal incision in a hairless man does not look very good. The endoscopic has less pull but also less scars. The bottom line is the endoscopic is better if the scars cannot be concealed. If there is somewhere the scars can be hidden this is best. A personal exam is necessary
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Browlift in bald men

I have had good experiences with browlifting via the endoscopic approach in bald men. In general, the incisions are small enough, and heal well enough, to be overlooked except on close inspection.

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Most men look good with low eyebrows.

Hi. Think of Paul Newman! But if your brows really need to come up some. an endoscopic brow lift leaves minimal scars. Avoid coronal incision.
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Options bor browlift in Men

Various techniques can be used to lift the brow in men. Endoscopic and caronal lifts are fairly big procedures but can be quite effective. In Men with high hairlines or complete baldness I often recomend a midforehead brow lift. The brow can be shaped acurately and the incission lines are easily camouflaged by forehead wrinkles. The procedure is quick and can be done under local anaesthetic.
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Brow lifts can be a great procedure in men

You have many options available to you as a male. Being bald limits some of them however. A coronal lift would be visible as would incisions placed in the scalp for the endoscopic procedure. A pure temporal lift done endoscopically with suture plication is a great alternative in bald males as the temporal hair is almost always still intact (unless you shave the remainder or your head). Another good option is the transblepharoplasty brow-pexy which can also avoid observable scars. A good... more
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Brow lift alternative

A brow lift is a common procedure performed on male patients, and looks best when performed conservatively. Often, it is not lifting but volumizing the eyebrow region that really enhances appearance. In general, an endoscopic approach is a fantastic way to perform the surgery and will leave you with minimal scarring. If you did not want to go the surgical route when improving the appearance of your brow, you could always lift the brow temporarily with Botox or Dysport. Injecting a small... more
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Brow lift on men

There are many choices for brow lift incision. The only one you did not mention is the endoscopic approach. This approach leaves very small incisions that usually heal well. Brow lift on men can be very helpful if not overdone. Without a photo to see if there are deep forehead lines its hard to recommend one incision site. If you have very low brows you are a good candidate for one of the mentioned approaches.
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Brow lift alternatives

There are several issues to your question. Brow lifts do look good on males and help to improve the tired and uninterested look seen with sagging of the brow. In a bald male with some deep forehead creases a direct brow lift using one of the creases can be a good alternative. An endoscopic brow lift will elevate the brows with minimal scarring and can certainly be incorporated with a face and neck lift. The coronal lift can be done quite far back so that it is less... more
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Browlifting

Browlifting is surgery that can be done via a myriad of different techniques, and each technique is idea for a certain type of patient, male vs female, forehead wrinkles or smooth forehead, good hairline or not [and there are obviously different degrees of hairloss], and thickness of skin. A direct or midforehead lift can achieve excellent results [long term] is it is done in the proper patient. Ideally, you should get an opinion from a surgeon that is facile and experienced using all... more
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Brow Lift Alternatives

Dear Gaston, Thank you for your recent inquiry regarding brow lift surgery. Without a photograph it is difficult to give a proper assessment. It sounds as you have already had multiple opinions from various surgeons and without a direct examination it is hard to determine what your best surgical plan would be. I will say I am not a fan of a brow lift incision above the brow. I personally perform the majority of my lifts from an endoscopic approach. It would be important to see... more
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Male Browlift

Browlifts in males are more challenging because the options are often limited because of current or potential future hair loss which hiding the scar an issue. Lower brow position in a male is more acceptable and often more desirable to maintain a masculine appearance whereas too much elevation of the brow can lead to a feminized or "operated-on" appearance. As a result, a more conservative approach is often recommended when evaluating and treating upper lid hooding as it relates... more
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Brow lifts in bald men.

If you are fair the direct brow lift thru forehead wrinkles is best. Coronal scars in bald men do not heal as well.
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Brow lift in bald male

Since you are considering a face lift, I might suggest that the discarded hair bearing skin be used for a strategically done hair transplant that could disguise the scars of a coronal or endoscopic brow lift. Otherwise mid forehead lifts work well but take up to one year for the scars to fade.
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Type of brow lifting

The best brow lift option is different for everybody. Some may be better off without a brow lift. For those who would benefit from a brow lift, the incision can placed on the brow (direct technique) or forehead crease (mid-forehead lift) or at forehead/temple hairline (pretrichial forehead lift) or behind the hairline (endoscopic). The last two options won't be good for balding hair. Brow lift, if performed in men, should be done more conservatively... more
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Browlift

There are many alternative approaches towards having a browlift. If you have no hair to hide the incision, there is a way to perform a browlift using an incision in the crease of your upper eyelid. An in person consultation would determine whether this approach is recommended for you. Please consult with a board certified specialist who can assist you in achieving the results you seek.
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Best brow lift option

There is no single right answer as to the type of brow lift you should have. As you have already seen, different doctors are going to have different opinions and this does not necessarily mean they are all wrong or right. It's difficult to give you specific advice without a picture, but in general, a brow lift in a man with little hair can be a challenge. If you have virtually no hair to hide any incisions on your scalp, I would not recommend any surgical approach that... more
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