How is a Lateral Browlift Different from an Encoscopic Brow Lift?

Endoscopic vs. lateral or temporal browlift differs in the way the brow is pulled. I do not like temporal or endoscopic forehead lifts as the temporal- lateral brow lift raises the outer part of the brow and often makes the person look evil> The endoscopic brow lift is fine IF you have a low hairline since the brow is raised straight up and the HAIRLINE IS ELEVATED. #5 years ago we invented the Irregular Trichophytic Forehead Lift that not only raises the brow but also the hairline is not raised and can be lowered.

   The lateral brow lift is a temporal brow lift, which involves an incision in the temporal hairline and the vector of pull affects the lateral brow.  The endoscopic brow lift is a more extensive procedure which can release the entire brow as well as soften wrinkles in areas of the forehead and glabella.  Kenneth Hughes, MD Los Angeles, CA

There are at least 6 different variations in browlifting depending on patient's needs [women vs men, skin type, hairline, degree of droop, etc]

In general, a 'temporal' browlift is used synonymously with "lateral" browlift. This is used in patients with a modest droop of the outer corner of the brow. The incision is usually made either at the temple hairline or a bit behind [depending on the hairline]. This technique will not be helpful in patients that need the entire brow lifted or have a severe droop of the corner of the brow.

Endoscopic browlifting does elevate the entire brow lift. The incisions are "limited" to a few spots behind the hairline in the scalp. This is a good technique in patients with a normal or low hairline, a moderate droop at most. In general, its results are not quite as long lasting as an open [hairline browlift]

 

Hope this helps

there are many variaitions on brow lifts.  some paitents with botox need little central work so a lateral or temple lift corrects the outer brow which is sufficient

Thank you for your question. You ask some very good, technical details. An "endoscopic" brow lift and "limited incision" brow lift may be referring to similar techniques. This involves use of a camera and endoscope, and elevation of the forehead tissues through small incisions behind the hairline. Typically in these cases, the corrugator muscles (between the eyebrows) may be divided to help flatten out the forehead and reduce the frown lines ("11's"). A lateral brow lift or a temporal lift refer to the lateral part of the above procedure, and are typically used to raise the tail of the brow -- not the part closer to the nose. The corrugator muscles are generally not touched in this procedure.

The age of the patient, the type of descent of the brow they demonstrate and the training/skill of the surgeon will lead to a diverse number of approaches being recommended. The temporal/lateral browlift is good at tightening an slightly lifting the outer portion of the brow and opening up the corner of the eyes ( the 'crow's feet' area). The endoscopic approach offers this improvement but also frees the central portion of the brow to allow the entire brow and forehead skin to be elevated as a unit. The classical browlift utilizes an incision behind or just along the hairline and mobilizes the entire scalp as a unit as well. Patients will dense hair and a lower hairline can utilize this approach if desired. Remember that different surgeon will often have a favorite or perhaps just a single way of dealing with all brow issues. Make sure your surgeon can discuss each approach with you and why 'his' approach is the preferred approach.  Best of Luck  Dr Harrell

The difference between and endoscopic and a lateral brow lifts involve several factors.  An open lateral brow lift involves excising  skin in the lateral  hairline to get an upward pull of the lateral eyebrow skin by traction.  In many cases this is effective  but of limited longevity because of stretch back and inadequate release at the brow level.

The endoscopic brow lift is performed via 3 to 5 small incisions.  The periosteal attachments at the level of the brow are released under direct vision of the scope to allow the underlying frontalis muscle to pull up the brow.  The brow and the underlying  periosteum are suspended at a higher point via several possible  techniques to allow long term  fixation of the lateral  brow in a higher position.   The medial  brow  can also be released and suspended concurrently.  Also the corrugator muscles responsible  for those  "elevens lines" are cut and weakened. 

The end result is that the endoscopic brow lift, though technically more demanding, is more versatile   than the standard  open lateral  brow  lift. 

 A lateral lift to the eyebrow will simply elevate the outer lateral most portion of the eyebrow without performing anything else. There is very few patients who require only a lateral brow lift. Most patients require the entire  forhead and brows to be elevated as a unit. A. endoscopic brow lift involves placement of 3-5 incisions in the scalp and adjusting the brow position upwards and softening the corrugator muscles. A coronal brow lift involves making the incision at the hairline or behind the hairline.  A coronal browlift can raise or lower the  hairline, depending upon where the patient's  pre-existing hairline is.  During a coronal brow lift the frontalis muscle, the corrugator muscle, and procerus muscle can all be softened and adjusted. This will help prevent the brow from being pulled down from the muscle in the postoperative phase.  Softening the  corrugator muscle also could help address the vertical frown lines between the eyebrows. Fascia grafts  are also placed between the dermis and muscle to prevent the vertical frown lines from returning. The  coronal approach gives a much more consistent and reliable brow lift in  our hands.

Almost all patients eventually benefit from brow lifts to correct the  sagging thick brow skin as it descends into the upper eyelid area. Browlifts can be done many different ways, through the forehead skin above the brows in preexisting wrinkles, through the hairline of the temples, and endoscopically through 4 small incisions in the scalp, which includes the limited lateral incision area in the temporal hairline. Most patients need lateral lifting at the outside portion of the brows than towards the middle-this is important to achieve a natural and not a "surprised" look. You should look at your self in the mirror and photographs with your surgeon to agree which portions of your brow need lifting, then decide on which approach will best achieve the results you want.

You are referring to 2 different things: 1) the surgical approach and 2) the areas addressed.  The endoscopic browlift uses small incisions through which the endoscopic equipment is placed to perform the procedure whereas a limited incision uses incisions that may be a little longer but without endoscopic equipment.  A lateral lift essentially refers to the temporal region, which is the outer part of your brows, not the side closer to your nose.  Please consult with a board certified specialist who can best assist you in achieving the results you seek.