Types of brow lift after cranioplasty (photo)

Question

I had a cranioplasty in 2019 and it has left me with temporal muscle bulging and a hollow area above this. I have had 2 fat injections and surgeon has attempted to stretch the temporal muscle as much as possible. Unfortunately during this correction op in 2022, they severed a nerve so I can no longer raise my right eyebrow and it sags slightly. Surgeon has suggested a browlift with incision just above my right eyebrow to correct the sagging. I feel like this may leave a visible scar. Would there be other options (like endoscopic brow lift) where the scar would be higher up and they could pull forehead/temple skin a bit tighter to even out surface irregularity of temporal bulge and hollow? Thank you

Jeffrey H. Spiegel, MD · Answer

I do a tremendous amount of cranioplasty. It is likely that we can do a browlift, and reduce the muscle that is in excess while moving volume to the hollow area. This should help restore a more symmetric appearance.

Zoran Potparic, MD · Answer

Temporal silicone implant can be a fine replacement for missing/retracted temporal muscle. Elevation of the eyebrow directly can be done with incision just within brow’s upper 1/3; hair is partially shaved in upper brow and incision is placed into hair growing portion. Other option is endoscopic brow lift with placement of endotine resorbable plate. Open brow lift with incision placed in hairline may not be very efficient since you have very high forehead? Hope this helps.

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