Lift the Lateral Brow with a Peri-temporal Trichophytic Brow Lift?

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 

This is a great procedure and I dont think the scar even if its bad is really an issue. If your forehead is that high maybe consider doing a classic coronal brow lift

      The lateral trichophytic brow lift in the right patient has the advantage of not distorting the hairline and obviously improves the lateral hooding.  The scar in poor scar formers may be an issue. 

 

Kenneth Hughes, MD Los Angeles, CA

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 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. 

HiI perform this procedure and have had a high patient satisfaction rating. I place the incision in an inconspicuous area. I perform this procedure under local anesthesia. The procedure will elevate the lateral brow as well as provide support to the lateral upper eyelid.

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.

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.

  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.