I can't find anyone who does this. Why? I have a high forehead. My brows are in an excellent position medial however. It is just the lateral brows that have melted down the sides of my face. I do not want my brow lifted medially. Dr Martin cuts an ellipse from the skin in the temporal region at the hairline.His incision is pre-trichial. I'm interested in hearing what doctors that do brow lifts think. Thank you.
Lift the Lateral Brow with a Peri-temporal Trichophytic Brow Lift?
Doctor Answers 11
The Trichophytic browlift
Hi Dianne, I agree with the others that there is a potential risk of visible scars when the incision is extended to the more lateral temple region. I was a member of the group that originally developed endoscopic plastic surgery procedures and have been performing endoscopic browlifts for years. I will add a pretrichal incision to lower the hairline where indicated. You say that you have temporal hooding in the eyebrow and a high forehead. If a pretrichal or "trycophytic" procedure is recommended, you might consider hair transplants to that area after the browlift healed to hide the scar if it remained visible
The Irregular Trichophytic Forehead Lift.
The Irregular Trichophytic Forehead Lift was developed by myself and my partner 35 years ago. It should be used to lift the lateral brow but NOT in the temporal hairline! This solidly be done at the lateral frontal hairline.
Hi Dianne, the peri-temporal hairline typically does not hide trichophytic incisions well at all. That's why most surgeons prefer incision placement within the temporal hair tuft to minimize scar visibility. This applies to both open or endoscopic approaches. Of course, a direct lateral browlift is another option. The incision is placed directly above the lateral eyebrow and allows good control on brow elevation. There is good scar camouflage and this procedure does not disturb the hairline.
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Lateral temporal lift, hair line lift, trichophytic lift, Pre-trichial lift
Based on your story and desires I believe you are an excellent candidate for a lateral hairline brow lift .
i suggest you go to the Am. Soc. of Aesth. Plastic Surgeons web site and search for a board certified plastic surgeon(s) in your area, make several consult appointments and see who you feel most comfortable with. This is a very common procedure and you will have many options.
Its a very common procedure and I'm surprised you are not finding surgeons in your area. It is also my preferred method of a browlift. However, if your forehead is very high, there is some risk for skin compromise and more scarring then you would be happy with. But its a simple procedure that can be done under local so revisions are less costly if needed.
Pretrichial lateral brow lifting
Pretrichial (trichophytic) lateral forehead/brow lifting is a very good effective technique that is also safe. It is the most common technique that I use in my practice in females. The incision is made along the lateral temple hairline, which heals and hides very well. It can be done under local anesthesia.
I perform trichophytic, endoscopic, temporal, direct, or transblepharoplasty browlifts, depending on your hairline and hair density, skin thickness, and degree of brow droop. A temporal browlift may work very nicely for you, and can be done either in front of the hairline or behind the hairline depending on your hair density and growth pattern on the temple. Trichophytic browlifts tend to be the excellent for patients that have high foreheads, and if you do not need your medial brows lifted much, that portion can be done relatively conservatively.
If you would like post a photo, or better yet come in a for evaluation, a more personalized recommendation can be provided.
The lateral brow lift
A trichophytic browlift in the lateral temple area will be noticeable and incision detectable because of the thin hair, and the direction of growth of the hair follicles.
Pretrichial brow lift
Depending on the width of your frontal hairline, a pretrichial, trichophytic lateral brow lift might achieve what you want with minimal loss of hair. The incision,however, should not extend downward along the vertically growing hairs . A scar in this pre temporal area is hard to disguise even if the trichophytic incision is used.