Why my Endoscopic Brow Lift Did NOT Hold? (photo)

Endoscopic browlifts are a good technique to use for patients with mild to moderate eye brow droop and think skin. But even in the best circumstances, I have not found them to be as long lasting as open [trichophytic or coronal] browlifts.

You state that you don't want a "coronal" browlift, but have you considered a trichophytic [hairline] browlift? This incision is made at the top of your forehead, a few millmeters behind your hairline, in a beveled fashion so that hair can grow through the incision site and mask the scar. The added benefit, beside being a much stronger and long-lasting lift, is that it also shortens the height of the forehead. That is great for patients who have a really high hairline.

Although I initially trained and performed endoscopic browlifts exclusively, I have since transitioned to trichophytic browlifts, with an occasional endscopic lift for the perfect candidate [mild droop with very think skin and very thin hair]

 

The endoscopic browlift can be a very good option.  Like anything else, the surgery needs to fit the patient.  You are taking a couple of options out of the hands of your plastic surgeon.  The forehead needs to be in a fixed position to scar and stay in place.  Often sutures will work.  Our office likes the endotine system.  In your case I would also inquire about a lid ptosis procedure.

Poor results from endoscopic forehead lifts are common. 35 years ago we invented the Irregular Trichophytic Forehead Lift which gives a far more reliable result and NO hair is removed. If properly done the hair will grow thru the scar at the hairline so no scar is seen and a better browlift can be done.