Is it possible to perform a lateral brow lift using an endoscopic approach?

Question

I have slightly negative hooding on the temporal side of my eyes and neutrally tilted eyebrows, so I'd like to fix both with a temporal brow lift. Can it be done endoscopically, placing incisions on the sides of the hairline? I want to do it this way because the usual area of the incisions for a lateral lift is temple peaks, which results in a wider/less masculine forehead, and is also hard to fix with a hair transplant unlike with the endoscopic approach.

Thomas Tzikas, MD · Answer

Yes, a temporal or lateral brow lift can definitely be done endoscopically with a very small incision in the hairline.

David K. Isaacs, MD, FACS · Answer

The best approach depends on your anatomy and without photos it will be difficult to tell.

My threshold for endoscopic browlift in women is low but higher in men.

Endoscopic forehead/browlift gives a much nicer overall arch and shape to the brows because you can modify the position of the central brow and forehead. But many men are not candidates due to their receding hairline and by the time you go ahead it way behind the hairline you “lift effect” (I coined the term in this context) is lost.

Direct browlift gives a much more powerful lift but can’t affect the central and medial areas and I don’t often offer it to women because of the scar.

You can achieve lateral lifts in both but again depends on your anatomy so we would need a photo.

Can’t give a blanket answer for that, wouldn’t be right.

See an expert for an evaluation. Hope this helps!

Ruslan Zhuravsky, DO · Answer

Hi, Yes, it is possible to do a lateral brow with an endoscopic approach behind the hairline. In fact, this is the preferred method for most cases. As with all surgeries, it's important to consult with not just a board certified plastic surgeon, but also one that focuses on high quality techniques. During your consultation, discuss the procedure, alternatives, it's pro / cons, and how it's performed. Consulting with various providers is helpful to compare notes and then make a decision based on who you trust more. Good luck!

Is it possible to perform a lateral brow lift using an endoscopic approach?

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