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

 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.