Does Endoscopic Brow Lift Last As Long As Full Coronal Brow Lift?

This represents an area of controversy in facial cosmetic surgery. There are those who feel that a coronal brow lift will last longer than an endoscopic brow lift. Most proponents of this view attribute this increased duration to the resection of excess skin.
In contrast, many surgeons feel that an endoscopic brow lift can be equally effective if performed properly. They feel that the results are excellent when adequate soft tissue release and appropriate fixation are utilized. They also feel that the longevity of brow elevation under these circumstances can be equivalent to an open brow lift procedure.
Proponents of endoscopic brow lift feel that a more relevant question is related to the final aesthetic result. They argue that the open approach is associated with more scarring, more numbness, more hair loss and elevation of the anterior hairline.
In the final analysis, the surgeon’s sense of aesthetics and artistry are more important than the technique utilized. Both procedures have a place in the management of brow descent. In the majority of patients, the open traditional brow lift offers no advantage over endoscopic brow lift. It’s important to find the technique that is best for each individual patient.

In my opinion, and in my hands, I believe that an endoscopic brow lift has great longevity. There are two basic forms of brow lift: endoscopic and open. I do not believe that a Coronal brow lift has any relevance in brow lift surgery given that there is a better open brow lift option: the Trichophytic Brow Lift.
A Trichophytic approach utilizes and irregularly irregular wavy pattern that mimmicks the natural hairline and a bevelled incision to allow hair growth through the eventual scar. A Trichophytic approach allows for skin removal and allows for stabilization or lowering of the hairline. A Coronal approach allows for skin removal, but by definition elevates the hairline. A Trichophytic approach allows for greater control of the glabellar muscles and brow elevation than an endoscopic approach.
However, a properly performed endoscopic approach with complete brow release has yielded excellent results for my patients and saves operative time in the circumstance of multiple procedure cases. A large percentage of patients prefer to have a smaller incision if possible, making the endoscopic brow lift the preferred approach in patients with a normal hairline. Patients with a high hairline require a Trichophytic approach.