Coronal Brow Lift Vs Endoscopic Brow Lift?

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