Do the Pro's Outway the Con's in a Coronal Brow Lift?

A coronal brow lift is a good procedure for patients without a high hairline and in those where specific elevation requirements of the brows are not necessary. The rule of thumb is that the further away from the brow the less accurate one is in elevation. The incision is a long one and does result in numbness since the cutanous nerves are cut. In my hands I prefer either an endoscopic lift for patients who do not have a high hairline or a pretrichial/trichophytic lift in those where the hairline cannot be elevated. Headaches and even some reflex nausea are common sequelae after all brow lifts whereas hair loss is not unless hair shock develops as a result of decerased blood supply and tension placed on the incision line. Hope this helps. Good luck to you!

Thank you for your question. The answer to that depends on who is doing the procedure, and who having the procedure done, and then how you respond to the treatment.  Numbness is a risk to many facial procedures, and is not entirely predictable. No surgery is without risk, and while these side effects are not common, they are a possibility.  Unfortunately, usually only those who have had a complication feel moved to post results.  The happy ones seem to have other things to do.  I have only seen one coronal lift that had minor numbness in nearly 20 years.  But remember, no surgery is without risk. I hope this helps.

       The resultant hair loss is largely the result of technique not the approach itself.  It is not an unreasonable approach in a patient with a low or moderately placed hairline and dense hair.  The incision at the hairline is also a reasonable approach, particularly for the patients with a high hairline and/or brow descent.   Find a plastic surgeon with ELITE credentials who performs hundreds of facial procedures and brow lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

  It depends who you ask.  I try to discuss different options with my patients and discuss that different physicians may approach any problem in various ways.  There are plenty of doctors who do coronal brow lifts and swear that their results are superior to doctors (like myself) who try to steer patients to small incision lifts.  Personally, if it was me, I would prefer having a brow lift with the smaller incisions.

The incision for a coronal browlift starts at one ear and runs to the top of the other ear.  There usually is discomfort. much headache and pain following this procedure. One will note more edema with a coronal browlift than with an endobrow.  I high recommend the endo browlift above the coronal.    The endobrowlift usually consists of 5 incisions that are right at the hairline.  There is minimal swelling or discomfort. 

The coronal brow lift is considered the gold standard. The results achieved are long lasting and effective. Some of the problems have been scarring, hair loss, widened scars and the cutting of nerves that feed the top of the head which may cause numbness. The endoscopic approach largely avoids some of the problems. However, for some women with an unusually high forehead the coronal approach will avoid elevating the forehead further. Good luck!

The coronal brow lift can be a great procedure. There are options and if you see a few board certified plastic surgeons then you will get several opinions and can decide for yourself what is best for you. Elevation of the hairline can be a problem with the coronal lift. While I prefer endoscopic or hairline lifts, it is important to realize that each doctor will do what they think will give you the best result in their hands. Good Luck!

The Irregular Trichophytic Forehead Lift not a coronal is the procedure of choice.  There is still temporary numbness but no hairless and the scar is not visible if properly done. 

Coronal browlifts are rarely used as a technique with procedures such as hairline [trichophytic] and endoscopic browlifts that give as good or better results, without changing the patients hairline for the worst.

Trichophytic browlift is a long-lasting browlift which does not change the hairline [and can sometimes help shorten a long forehead]. This has made the coronal browlift obsolete.

 

There are multiple options for brow lifting and you should consider the benefits and risks of all of them.  Discuss the endoscopic or minimally invasive brow lift, as well as the pretrichial (or hairline) brow lift and temporal brow lift.  One can also perform a small brow lift via an upper lid blepharoplasty incision.