Of the Surgical Browlifts, Coronal and Endoscopic, What Are the Drawbacks of Each?

Are there big difference in the long-term effects of coronal and endoscopic brow lift options?

Doctor Answers 6

Coronal vs. endoscopic

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I think you need to realize that most open (non-endoscopic) brow lifts performed today are hairline brow lifts and not coronal.  In general the pros and cons between endoscopic and open brow lifts are:


Endoscopic advantages:

  • Shorter incisions
  • Less numbness
  • Less pain

Endoscopic disadvantages:

  • Shorter longevity
  • Potential to raise hairline

Open advantages:

  • Greater longevity
  • Better control of hairline (can shorten or lengthen)

Open disadvantages:

  • Longer incisions
  • More numbness
  • More pain

Coronal & Endoscopic Brow Lifts

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With the coronal (incision within the scalp) and endoscopic brow lift the hairline is elevated, which for most people is an undesirable facial feature. We frequently have patients schedule a consultation to discuss lowering their high hairline, whether or not they previously had a brow lift. This is why we developed the Irregular Tricophytic Hairline Incision which enables us to maintain or lower the hairline position.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Of the Surgical Browlifts, Coronal and Endoscopic, What Are the Drawbacks of Each?

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Agree with Dr Mayer, each has their +'s and -'s. In person personalized consultations with boarded PS's in your area. You need to see which operation fits the needs and desires. 

The benefits of endoscopic browlift

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there are few indications for open or coronal lifts. i have not done one in 15 years.  the coronal lift can lower a high hairline. that is the only benefit when done correctly

Browlift and a high forehead.

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If you have a high forehead and you have either a coronal or endoscopic lift your hairline will be raised. More than 30 years ago we invented the Irregular Trichophytic Forehead Lift by which one can raise the brows and and maintain or lower the hairline position. The only drawback is with any of these you have temporary numbness behind the incision.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Endoscopic versus open brow lift? Help!

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in 1993 endoscopic plastic surgery was developed. Most common endoscopic procedure is the endoscopic brow lift or four head lift procedure. This procedure eliminates the need for a scar that exist from year-to-year which was common with the open technique. The open technique also creates a numbness from the incision line to the top of the head. This can be very problematic and troublesome for patients and if it can be avoided it is highly desirable. The endoscopic four head lift achieves a result equivalent to open technique when performed properly. The beauty of the endoscopic approach is that there are no visible scars, no permanent numbness of the four head or scalp, and a result equivalent to an open technique with no evidence of having had surgery. It is for this reason that plastic surgeons with special emphasis on facial aesthetics choose the endoscopic technique over the open technique.

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