Endoscopic Browlift Versus Hairline Browlift?

How long will each of these last?

Doctor Answers 18

Endoscopic brow lift or hairline lift

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A hairline lift will prettty much last a lifetime, but the endoscopic brow lift may not.  The hairline lift will leave a scar at the border of the hairline.

New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Coronal Browlifts May Last Longer

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I'm not a big fan of the hairline Brow Lifts.  Over the past 20 years, I have seen some beautiful incisions using this technique but all the patients are still upset after having this procedure.  There are small vilous hairs in front of the hairline that give it a more natural appearance.  The hair line Forehead or Brow Lift, removes skin below the hairline and as such, removes all these vilous hairs.  The result, even with the bst possible scar, is a very noticeable straight line.  Women that I have seen for other things during consultation all style their hair to hide this straight un-natural appearing hairline and wish that didn't have the procedure.

If you have a very high forehead (hairline, you may consider this approach) otherwise I like the Coronal Browlift with the incision about 7 cm's (3 inches) inside your hairline.  The endoscopic Brow Lift has the problem of requiring a suture, thread, hook or other device to hold up the eyebrows from the insdie...and IMHO, all of these can and do weaken causing one or both eyebrows to fall in as early as 6-12 months after the Browlift.

Coronal Browlifts actually remove scalp tissue as their method of holding up the eyebrows and last much longer and are more reliable again IMHO.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Endoscopic vs hairline browlifts.

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Both types of browlifts, if done well should last long periods if not permanently.  Each type of lift must be applied to the correct patient.  An endoscopic browlift may increase the height of the forehead so is avoided in patients with high foreheads to begin with.  A hairline browlift can be done simply, with the patient awake, under local anesthesia and hides the scar at the hair junction.  I've found this simple procedure to be very effective, long lasting and very well tolerated by my patients.

Conventional brow lift has long lasting results

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In my opinion, the hairline brow lift has more lasting results than the endoscopic method. I cannot recall a patient seeking reoperation after hairline brow lift in my years of practice and there is a high satisfaction rate from this procedure.

Browlift Options

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There are many methods for performing a browlift or forehead lift including an endoscopic browlift (through tiny incisions with the assistance of telescopes) , bicoronal forehead lift (extensive incision from ear to ear across the top of the head) and a tricophytic or hairline browlift. (hidden along the hairline. Each of these techniques achieves a similar result through the brow and the forehead in terms of smoothing of lines and gentle elevation of the brows.

The key difference is in how they affect your hairline. The Bicoronal (ear to ear) browlift elevates or pulls your hairline back, raising the frontal hairline by up to one inch. The Endoscopic lift has minimal effect of the position of the hairline. The tricophytic or hairline browlift can be used to adjust the hairline, usually lowering it to address a receding hairline or widow's peaks in the temporal hairline.

I always caution my patients that they continue to age and that no procedure is permanent, however, if performed by a board certified, facial plastic surgeon, your results should be very long lasting.

Best of luck!

Dr. Clevens

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

Endoscopic browlift vs hairline browlift

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Results of a hairline browlift tends to be more stable and tends to last longer. There is a lot of variability with the amount of relaxation from an endoscopic browlift since there is no skin removed. A pretrichial incision can be performed on the patients with a high hairline to enable the hairline to be lowered approximately ½ inch. Addressing the corrugator, frontalis, and procerus muscles is also performed if needed at the time of the surgery.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Either brow lift can last a long time. it is all about the hairline and scar

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both procedures can last a lifetime if the release of the muscles and ligaments that alter the forehead are complete.  the endoscopic brow treatment, if fixed from the side only will lift the hairline only one to two millimeters.  The anterior hairline incision can be visible, even with "trichophytic closure" and require hair grafts to conceal. the anterior hairline incision can also increase the temple recession as it comes back into the hairline at that location.

Gregory S. Keller, MD, FACS
Santa Barbara Facial Plastic Surgeon
4.9 out of 5 stars 15 reviews

Endoscopic versus hairline browlift

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I believe that with good release and elevation that an endoscopic browplasty will last as long as a "hairline" browlift.  Either technique should yield nice, long lasting results.  It is rare that I have to redo a browlift, even a decade later, and the majority of mine are performed endscopically.  I will use the hairline incision for those with a high forehead.

Douglas M. Stevens, MD
Fort Myers Facial Plastic Surgeon

Endoscopic vs Hairline Browlift

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As we said in response to  your  previous question, both procedures last for many years. It is fair to say the results last forever because you will always look better than you would if you did not have the operation. Because the endoscopic technique will always raise the hairline , many patients select  the hairline incision which is ultimately hidden by hair which grows through that incision.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Forehead, brow lift-endoscopic, hairline

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The endoscopic approach is a more conservative lifting. I have almost totally abandoned the hairline incision, primarily because the effects are quite similar and there are usually small scars with the former. It is difficult to predict how long each or either will last and a lot depends not only on the surgeon but also on the patients healing and re-stretch. I have seen my patients and others patients and have noticed in some that the eyebrows have not stayed as high.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.