Does There Have to Be Long Incisions on the Forehead for a Facelift?

Can there just be tiny round puncture holes endoscopically on the forehead? I just need/want minimal tightening on the SMAS muscle level. Never want forehead incisions due to being a balding man.

Doctor Answers 10

Does There Have to Be Long Incisions on the Forehead for a Facelift?

Dear xzcv,

Thank you for your post.  The forehead incision that you are talking about is done in a brow lift rather than a face lift.  But yes, in most cases, small incisions behind the hairline can be made for an endoscopic brow lift. 

Best wishes,

Pablo Prichard, MD

Phoenix Plastic Surgeon
5.0 out of 5 stars 48 reviews

Facelift Male

SMAS facelifts, or any facelift for that matter doesn't require an incision in the forehead. Forehead incisions, whether endoscopic or open, are purely used for a brow lift.

I hope this helps.



Pouria Moradi, MBBS, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 90 reviews

Well-designed rhytidectomy incisions

For a rhytidectomy, incisions are not needed along the forehead.  For a browlift, the incisions you are describing are the difference between a coronal and endoscopic browlift.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

Does There Have to Be Long Incisions on the Forehead for a Facelift?

     SMAS tightening does not require a forehead incision of any kind.



Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Facelift and balding

First, a facelift can be done within the lower face and sideburns.  If you need a brow lift,  sometimes it can be done endoscopically or the incisoin can be placed on the vertex.  ( That is how my mentor 16 yrs ago used to treat bald men!)  They healed incredibly well.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Incisions for forehead or facelift

If you are wanting a forehead or brow lift, there are incisions either at the hairline or behind the hairline. There is no SMAS involved with a forehead lift. The frontalis muscle in the forehead does play a role in the forehead lift. If you are asking about a face and neck lift, which generally adresses the cheeks, jowls, and neck, there are no incisions in the forehead. This is where the SMAS would be addressed.

Paul Wigoda, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 29 reviews

No forehead incisions for a facelift

A facelift rejuvenates the jowls and neck via cosmetically hidden incisions around the ear and under the chin. The SMAS tightening you desire is done through these incisions. Unless you are having a browlift also, there should be no incisions in the forehead/scalp region.

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 40 reviews

Incisions on forehead for a facelift?

A traditional facelift only addresses the neck and lower part of the face and would not need any incisions on the forehead.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews


If you are having a facelift only then there is NO scar on the forehead. The scar will be in front of the ear, behind the ear and into the hairline, there might be a scar in the sideburn. If you are having a forehead lift then you will have scars in the hairline.  If you are having a mini facelift then you will have a scar in front of the ear, and sideburn.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Forehead lift in males.

Small incisions will give small results. One inch incisions will give much better results placed higher than the old hairline. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 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.