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An endoscopic forehead lift is used to raise the forehead, withthe lowest portion being the temporal area. In select candidates, I have often used the same incisions forendoscopic forehead lift to perform a midface lift. When doing this procedure, I dissect furtherdown (than a standard forehead lift) to reposition the soft tissues in thecheek area. I recommend you have aformal consultation with a facial plastic surgeon who is experienced in midfacelifts for an evaluation and facial analysis.
Thank you for your question. The endoscopic procedure is preferred, when possible, because it has a quicker recovery time and it is generally less invasive. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy.Best wishes,
An endoscopic brow lift is one of many types of brow lifts. The endoscopic approach includes 4 incisions (some variations amongst surgeons) behind the hairline. These are small incisions that fit thin instruments. The surgeon releases the dense attachments of the brow to the forehead and then lifts the brows. The dissection in a brow lift does not traditionally extend to the malar (cheek bone) area. However, a separate midface lift can be done through similar incisions to lift the midface. A mid-face lift involves an additional incision under the upper lip to release the cheek tissue from the cheek bone. These 2 procedures can be done at the same time but I consider them separate procedures. I recommend a consultation with a qualified surgeon to discuss your options.
Strictly speaking, an endoscopic browlift usually involves dissecting down to the lateral eyelid region at most, meaning that dissecting down to the cheek area is far less common from the brow access incisions. It is much more powerful to lift the cheek either through a lower lid incision or through an incision near the cheek/temple hairline. Of course, these procedures are often combined in properly selected patients.
The forehead lift will only address problems in the forehead. It can be well combined however with a midfacelift. The basic incisions and approach are the same and we frequently do at least a smaller endoscopic forehead lift with our midfacelifts.
An endoscopic forehead lift only lifts the forehead, not the cheeks. In our practice we augment volume loss in the cheeks with cheek implants. For many examples both procedures, please see the link and the video below
Dear Lacroix, When I perform an endoscopic browlift I undermine down below the malar "cheek" area and lift the tissue, skin and muscle together to provide a nice lift in the malar region. This is a unique procedure that I have been performing for over twenty years. The beauty of the procedure is that you have no tell tale signs of surgery since the small incisions are hidden in the hairline and no skin is removed. This procedure also helps slow the aging process and provides the patient with a natural and youthful appearance. All of my office staff have had this procedure performed due to its high rate of patient satisfaction. See before and afters in the link below and video. Best regards, Michael V. Elam, M.D.
A forehead lift will not raise the malar area but a cheek lift can be performed at the same time if that would improve projection, definition, and contour.