Endoscopic Brow lift. Which is best, 3 or 5 incisions to reduce crows feet?

Question

I have decided to undergo an endoscopic brow lift in order to elevate my eyebrows, flatten out horizontal forehead wrinkles and to reduce crows feet. However, I have notice that some doctors use 3 incisions on the top of the head only, while others use 5, where 2 of the incisions are on the side of the head, above the ear. Is this more effective in reducing crows feet than only placing incisions on top of the head? My crows feet annoy me and thus I would like to have these reduced while I am at it.

Anthony Corrado, DO · Answer

I would say that is does not matter how many incisions your surgeon uses, but instead what matters more is your surgeon's skill and ability in performing the procedure.  For any cosmetic procedure, choose a surgeon who has much experience in facial cosmetic surgery, and who has before/after pictures which show results similiar to your aesthetic goals.

Thomas Romo, III, MD · Answer

The word crow's feet on the face describes a set of wrinkles noted on the outer eyelid region. These are worsened during smiling and as the skin gets thinner in this area. This problem is usually treated with a neuro-modulator like Dysport, Xeomen or Botox. Then a 3D filler like Juvaderm or Restylane can be used.  Temporal lifting can reduce excessive skin and give temporary improvement but as long as the muscles are moving the crow's feet will come back

J. Jason Wendel, MD, FACS · Answer

Thank you for your question.

I prefer a modified endoscopic brow lift with 4 incisions -- 2 horizontal ones on the sides and 2 vertical ones centrally above the forehead.A brow lift typically doesn't fix crow's feet. For that, Botox Cosmetic, Dysport, or Xeomin would likely work well for that.

To be sure, see two or more board
certified and experienced plastic surgeons in your area for a full and complete
evaluation.

I hope this helps.

John J. Martin, Jr., MD · Answer

If they only put the incisions on the top of the head, you will get mostly a forehead and medial browlift.  Most surgeons will do an incision in the temple area as well.  This allows for a lift of the temporal brow and will help with the crow's feet.  This is the more common and standard incision pattern.

Stephen Weber MD, FACS · Answer

This depends most upon the typical practice of your surgeon and the severity of the aging changes that you are trying to treat. I will typically use 5 incisions but have very skilled colleagues that only use 3 and are capable of creating very nicely results as well. I would ask your chosen plastic surgeon about their technique to get a specific answer. Regardless, endobrow incisions tend to heal very nicely and are hidden behind the hairline. Hair loss or alopecia can happen but is very rare. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Endoscopic Brow lift. Which is best, 3 or 5 incisions to reduce crows feet?

Answers (8)

Answer: The placement of the incisions is more important than the number for an endoscopic browlift.

Answer: The placement of the incisions is more important than the number for an endoscopic browlift.

Answer: Endoscopic Brow lift. Which is best, 3 or 5 incisions to reduce crows feet?

Answer: Endoscopic Brow lift. Which is best, 3 or 5 incisions to reduce crows feet?

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Everything you need to know about Brow Lift

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Endoscopic Brow lift. Which is best, 3 or 5 incisions to reduce crows feet?

Answers (8)

Answer: The placement of the incisions is more important than the number for an endoscopic browlift.

Answer: The placement of the incisions is more important than the number for an endoscopic browlift.

Answer: Endoscopic Brow lift. Which is best, 3 or 5 incisions to reduce crows feet?

Answer: Endoscopic Brow lift. Which is best, 3 or 5 incisions to reduce crows feet?

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.