Best Brow Lift Procedure for Young Male with Receding Hairline?

Occasionally young men with
receding hairlines develop brow descent. 
Many of these patients are concerned about how they are perceived by
others.  They feel that their brow
descent makes them look tired and on occasion angry.  They worry that their appearance might impact interpersonal
relationships.  For these reasons,
many of these patients request brow lift surgery.

This situation represents a
significant challenge for surgeons because it’s virtually impossible to elevate
the brow in a balding young man without creating visible scarring.

Several treatment options exist and
these need to be tailored to the individual patient.  In some cases, a hairline incision can be utilized with
excellent results. Unfortunately if the hairline continues to recede, a hair
transplant may eventually be necessary.

In the majority of cases the best
option is probably the endoscopic browlift.  This procedure generally utilizes short incisions that heal
nicely over the course of time. 
When this approach is utilized, endotine fixation devices should be used
because they’re buried beneath the skin.

When endoscopic browlift is
performed the majority of patients are satisfied with their results.  Although, scarring can occur, the
incisions are small and tend to heal nicely with time.

There are many browlift options. None is right for every patient.
In men, an endoscopic browlift or a hairline sparing minimally invasive browlift may be the most appealing and avoid distortionof the hair, depending on the hair pattern. The latter procedure can actually restore the hairline by reducing a balding widow's peak area.

I would be very reluctant to recommend any type of surgical brow lift given your current condition. Your ethnicity will place you at risk for prominent scars. Your hairline is receding at a young age and this will likely be progressive. Even if the scars can be hidden in the hair now, there is a substantial risk they will be exposed when your hairline recedes further.
Botox will not provide long lasting results but is still probably the best option for you at this time.
I hope this is not an overly disconcerting response. Good luck and best wishes to you.

It sounds like you are describing a mild descent of the medial brow close to the nose. The lateral brow position is going to be important in making this decision. The strength of the surrounding muscles will also provide important information. If you do not require a signficant elevation and the muscles are strong, I would suggest trying botox. Although this is a temporary solution it will give you insight into what can be accomplished.
A good technique for minimal brow ptosis and a receding hairline is an endoscopic browlift. 3 to 5 small incisions are created within the hairline and the brow can be lifted. Since this is a minimal lift you would not dramatically alter the hairline. An anterior hariline incision in a progressively receding hairline and mediterranean skin may leave you with a visible scar in nonhair bearing skin in years to come.
You need to have a discussion about this with your board certified plastic surgeon as there are tradeoffs to be made.
I hope this was helpful.

First thing I would try on anyone considering a brow lift is Botox to relax the eyebrow depressor muscles. Many patients get a nice lift of the brow even without surgery that lasts around 4 months.
As for surgery, if your hairline is receding and genetically will continue to do so, I am reluctant to perform a coronal, at the hairline or even traditional endoscopic browlift. Endoscopic is an option with incisions in upper brow creases. My favorite procedure for men such as yourself, is trans-Blepharoplasty brow lift. This is performed through an upper eyelid incision. the muscles are cut that pull the brows down and in. The brows are also tacked up to the bone above the eyebrow with a dissolving device called and endotine. The biggest drawback of the trans-Blepharoplasty brow lift is that the results aren't great. But for a man, that is an advantage. Men should not have their eyebrows lifted too high or they may appear feminized.

In men, hiding the incisions for a brow lift is more difficult. Because the endoscopic technique uses smaller incisions, this approach would be favored.

I have had good results with the endoscopic lift in men with receding hairlines.  The scars are visible for a while but do fade within a few months.  

There are many different brow lifting procedures, such as the coronal and endoscopic approaches. A coronal approach requires a longer incision, which can be placed more on the top of the head since the balding pattern is present, while an endoscopic approach is done more anteriorly. To raise the central portion of the brows it is important to divide the corrugator muscles. Another option might be to only divide the corrugator muscles from the upper blepharoplasty approach and not perform a browlift at all to see if dividing the corrugator muscles will actually raise the central portion of the brow without doing a forehead lift.

If you have a receding hairline and do not wish to have this accentuated, then an open browlift with a hairline incision would be your best option. The downside to this plan would be a more visible scar as opposed to a coronal or endo-brow approach. Your best course at this point would be to schedule a consultation with a board certified Plastic Surgeon to discuss these options in more detail as they related to your particular facial characteristics and aesthetic goals.

A brow lift at the frontal hairline would not raise the hairline and you could even lower the hairline but there is a trade off of the scar. Your skin type might not be a good mix for this procedure. A direct brow can be done but again the scar might be more visible and obvious right at the upper margin of the eyebrow itself. It's all a trade off.