Coronal Brow Lift Vs Endoscopic Brow Lift?

In most patients today, you can do a more
minimally invasive procedure than a full browlift.  However, if you have a low forehead and full head of hair
and want a lot of eyebrow elevation, a full brow lift may be for you!!  Find a true expert - a board certified plastic
surgeon with expertise in cosmetic eyelid and browlift surgery -know before you
go!!

Coronal brow lifts are a good option for some patients, but not something that I commonly perform. I will commonly use either an endoscopic approach or a trichophytic approach. The coronal approach hides the incision within the hair, but does tend to elevate the hairline. This same result can be achieved with an endoscopic brow lift and avoid the long incisions and extended recovery associated with the coronal approach.
In the patient with an already high hairline who is concerned about raising the hairline even further, I would not use a coronal brow lift or an endoscopic approach and would instead use a trichophytic approach where the incision is made directly at the hair line. The downside of this technique is that the incision will be visible initially until it heals and fades over time.
Each patient is unique, so it is important to tailor the procedure to the needs of each individual.
All the best,

It depends who you ask.  I try to discuss different options with my patients and discuss that different physicians may approach any problem in various ways.  There are plenty of doctors who do coronal brow lifts and swear that their results are superior to doctors (like myself) who try to steer patients to small incision endoscopic lifts.  Personally, if it was me, I would prefer having a brow lift with the smaller incisions.

This is a very difficult question to answer without the benefit of a physical examination or patient photographs. Each patient needs to be considered individually and the best option varies from patient to patient. In our experience the best choice of procedure depends on several factors. These include the patient’s aesthetic goals and the specifics of their forehead anatomy. In some cases, the surgeon’s experience with a particular technique may also contribute to his recommendation.
Brow Lift surgery has historically been performed by making an incision across the top of the head from ear to ear, and pulling the skin in an upward direction. The excess skin is removed and the brow is fixed in its new position. The muscles that cause frown lines are treated as well.
In contrast, endoscopic brow lift is performed through several small incisions placed behind the hairline. The procedure is performed with an endoscope accomplishing the same goals as the open technique. A fixation device is utilized to hold the brow in its new position.
In severe cases of brow descent, the open approach has the advantage of being able to raise the brow more than the endoscopic approach. In addition, the skin may be more easily mobilized with this technique and fixation is not an issue because the excess skin is actually resected.
In contrast, the major advantages of the endoscopic brow lift are less scarring, less numbness, less elevation of the hairline, and less hair loss. The procedure is much less invasive and associated with much shorter recoveries.
It’s important to realize that both techniques require adequate mobilization of the scalp and appropriate fixation to maintain the brow’s new position. The surgeon’s sense of aesthetics and artistry are important with either technique. Both procedures have a place in the management of brow descent. In the majority of patients, the open traditional brow lift offers no advantages over endoscopic brow lift.

The descion you and your surgeon make about which forhead lift is best for you depends on numerous variables.  Without photos, it is difficult to give you an accurate answer.  The forehead lift that will ultimately be best for you depends on your concerns with your hairline position, placement of inscicions, and desired outcome.

There are many methods for performing a browlift or forehead lift including an endoscopic browlift (through tiny incisions with the assistance of telescopes) , bicoronal forehead lift (extensive incision from ear to ear across the top of the head) and a tricophytic or hairline browlift. (hidden along the hairline. Each of these techniques achieves a similar result through the brow and the forehead in terms of smoothing of lines and gentle elevation of the brows.

The key difference is in how they affect your hairline. The Bicoronal (ear to ear) browlift elevates or pulls your hairline back, raising the frontal hairline by up to one inch. The Endoscopic lift has minimal effect of the position of the hairline. The tricophytic or hairline browlift can be used to adjust the hairline, usually lowering it to address a receding hairline or widow's peaks in the temporal hairline.
 

Best of luck!

Dr. Clevens