Does a hairline brow lift cause permanent numbness?

Just curious. I have been reading about different types of brow lifts. I have read that the coronal brow causes permanent numbness, and that an endoscopic brow lift usually doesn't, but I have not been able to find out whether the hairline brow lift does or not.

Doctor Answers 7

Permanent Numbness after Hairline Brow Lift?

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In the 35+ years since we developed the Irregular Trichophytic Hairline Brow Lift we have found it is very rare for a patient to have permanent numbness and if it does occur it is limited to a very small area of the scalp. Our experience is similar with endoscopic or coronal lifts.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Brow lift candidate

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There are many factors that are considered when performing a Brow lift procedure. A hairline brow lift is only performed when patients have a pre-existing high airline, which lowers the hairline approximately a half an inch. When performing a brow lift, the hairline must either go up or down depending upon the placement of the incision. When patients have a low hairline, the incisions placed behind the hairline. In addition to low brow position, asymmetry of the eyebrows is also adjusted. In addition, the muscles of expression in the forehead are softened which include the corrugator and frontalis muscles. Performing a endoscopic lift does have less numbness than a coronal approach. Even with the coronal approach, most patient's numbness improves after the surgery.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Does hairline browlift cause permanent numbness of the scalp?

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in more than 35 years since we developed the Irregular Trichophytic Forehead Lift (hairline type browlift) it is very rare for the feeling not to return in the scalp. There are some patients who have a small area of decreased sensation which is possible with endoscopic forehead lifting or coronal  lifting as well.  Lateral brow lift do not raise the center of the eyebrow and therefore can create an evil look. See a very experienced brow lift surgeon for the best results 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Numbness after browlift

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In both a coronal and pretrichial brow lift,  an incision is made which will cut the sensory nerve that goes from the eyebrow up through the forehead and to the back of the scalp.  Cutting this nerve will cause numbness.  For almost everyone the sensation eventually returns.  It can be disconcerting as it does since it can cause itching and strange sensations on the head.

An endoscopic brow lift will sometimes cause some numbness as well since the dissection done by the brow itself can result in some inflammation around the nerve.  

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 31 reviews

Hairline (pretrichial) brow lift

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Temporal hairline brow lift (to lift the lateral eyebrow) will not cause numbness. See following link (which has video too) for more details.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 reviews

Hairline brow lift

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Thanks for your question.

Yes, a hairline brow lift can leave some numbness of the upper scalp. There are sensory nerves that start above the eyes and travel to the top of the head. These are often cut. Sometimes they will grow back, but sometimes not. Nonetheless, the frontal hairline brow lift is an excellent tool in the right patients.  Standard brow lift makes the forehead higher, and brings the hairline back- it can make people look older and is best for patients who already have a short forehead.

Hairline browlift shortens the forehead and can  bring the hairline forward giving a more youthful look. It is a better option in patients who already have a tall forehead. The scar can usually be hidden well in the frontal hairline.

Hope this helps.

Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 115 reviews

Browlift Numbness

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     A hairline, or trichophytic, browlift is surgically similar to the coronal browlift with the difference being how far forward the incision is placed.  In the hairline lift, more forhead skin is taken, rather than hair-bearing scalp which has the net effect of lowering the hairline.  As for numbness, this is a well-described issue as the sensory nerves come from inferiorly on the forehead, but is not necessarily permanent.   The endoscopic browlift involves much less in the way of incisions and subsequent numbness, but will not help a high forehead hairline if present.  Pictures and a consultation would be needed to say which procedure would be most beneficial in your case.  Good luck.

John Harbison, MD
Omaha Facial Plastic Surgeon
5.0 out of 5 stars 8 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.