Coronal Forehead Lift for Young Patient?

As other surgeons have mentioned, there are so many ways to address forehead lines including chemical (Botox) and surgical approaches. A Coronal brow lift is, in my opinion, a historical approach with very little relevance in contemporary facial rejuvenative procedures. Patients with an acceptable hairline can be addressed endoscopically, and patients with a high hairline can be addressed with a trichophytic approach. A coronal approach raises a hairline and requires a large incision. The only time I currently use a coronal approach is for trauma cases.

It is difficult to answer this question without seeing your photos.  Your surgeon may be right in suggesting a coronal lift if you have a low hairline (short forehead) and very droopy brows.  Otherwise go for Botox or an endoscopic brow lift.

  Excellent surgeons debate the benefits of endoscopic or small incision lifts vs the traditional coronal forehead lift.  I am not sure you even need a forehead lift--you might be very happy with the results of Botox or Dysport which might be highly successful in delaying the need for a forehead lift.  But I agree--no coronal lift in someone in their 20's.

Coronal browlifts are excellent for forehead rejuvenation. In my practice, I have found the Endoscopic browlifts to achieve excellent results in younger patients. Endoscopic approach is less invasive and may be more reasonable.

A full coronal lift is an option but  I would recommend Botox first followed by considerations for a course of Botox first.

Small lines can occur with expression of the forehead in the 20's.  While most patients who receive Botox are in their early 30's, many patients with early line formation can benefit from select and small doses to the forehead.  Their is a limited role for Coronal Browlift in patients who are older than 50 (endoscopic browlift have replaced) and no role for coronal browlift for a patient in their 20's.

Dear Brokenbovine
I think Dr. Sonne is right in encouraging you to consider BOTOX. While the results are temporary it may be just what you are looking for.
If you need more effect, a forehead lift may be appropriate but not a coronal lift. The coronal lift is a surgery performed by cutting from one ear to the other, all the way through the scalp. This makes an huge incision that damages the scalp and can cause permanent hair and sensation loss. Variations include moving the incision to along the hair line. Surgeons who still perform this debilitating surgery are insensitive to the damage they cause in their patients.
There is almost no reason to perform the coronal forehead lift. It is a surgery that appropriately frightens any reasonable person. The small incision forehead lift is highly effective, with rapid recovery, and typically no loss of hair or sensation. Those who cling to the coronal forehead lift use a variety of arguments to justify their choice. Don't be taken in by their charms or their arguments. Find a forehead surgeon performing the endoscopic forehead lift. Better yet, try BOTOX first. This may be exactly what you are looking for without more surgery.

Coronal brow lift in your 20's sounds un-necessary on initial review and with limited information. There are ways to realx your forehead and botox is a lot less expensive and much less invasive.

For a woman in her 20's with deep transverse forehead lines, I would doubt a maximally-invasive coronal browlift would be the best option. It is VERY likely that an endoscopic browlift will suit your needs quite nicely. Even with a high hairline, a skilled endoscopist can accomplish an effective and durable lift endoscopically.

From my standpoint, there are no advantages and certainly some significant disadvantages of performing a coronal vs. endoscopic brow lift.  I think you need to consider chemodenervation initially with botox or dysport, and then look into surgery only as needed.  In my experience there are very few patients in their 20's or even 30's that really would require surgery.

Surprisingly, botox or dysport can really open the eyes and provide a slight brow lift when completed by a truly experienced injector.  Filler agents placed carefully into the lateral brow head can also give you a slight lift in 5 minutes with little to no risk.

I really recommend three qualified opinions before launching on any plans here.

Best Wishes,

Dr. Hobgood