Can temporal brow lift scars be placed on the hairline rather than within the hair?

Question

I want to avoid the risk of hair loss.I want to raise my brow laterally. Plastic surgeon recommended a temporal brow lift (stated 2-5 years longevity as I am young, early 30s) while a craniofacial surgeon says endoscopic BL. I have female pattern HL & I am worried about hair loss as a side effect. Which procedure carries higher risk? Would it be possible to avoid placing the incisions within the hair & instead place them at the hairline? I would rather have visible scars that that I can cover with makeup than bald spots I can’t hide.

Christopher David Jones, MBBS, BSc, FRCS (Plast) · Answer

There are different surgical techniques that can be used to lift the temporal brow. Not all of them require an incision in hair bearing skin.
Regarding your question, "can the incision be placed at the hairline". The simple answer is yes. The main concern is that these scars will be more noticeable than any hair loss you might get from incisions within the hair. It is also worth mentioning that trichophytic skin incisions can be used to preserve hair follicles at the site of future scars.

Amir Sadr, MD, MSc (Plast), FEBOPRAS · Answer

Dear dead metal
A temporal brow lift scar can be put at the hairline but as the skin in this area is very thin it can stretch as time goes by. Once things have healed you can cover it with make up as you mentioned yourself. Endoscopic brow lift scars are quite small and if you have surrounding hair to cover them , they could be hidden. There also the option of hair transplant onto the areas of scar if you develop alopecia. The surgeon usually orients his direction of skin incision so the hair follicles are not damaged but the risk of damage and subsequent alopecia always exist.

Edmund Kwan, MD · Answer

There are many incisions that can be used to achieve a brow lift. The simplest is placing the scar right on the eyebrow itself. Other incisions are hairline incision and scalp incision. The hairline incision can have great result with scars that are barely visible. It will also not raise your hairline. The scalp incisions are a good alternative because scars are hidden inside the hair. However, as you are aware, the scar can result in alopecia scar and the scar may be visible inside the scalp. This incision will also raise your hairline slightly. You should not be afraid of one type of incision. Different patients choose different techniques.

Toby Mayer, MD · Answer

Correction of  brow sagging in the female. This can be done by a procedure I invented 44 years ago and have done hundreds for females and TG patients as well. The Irregular Trichophytic incision with a brow lift leaves no noticeable scar since hair will grow thru and in front of the incision! The excess bone is filed down and your brows can be raised to a more feminine and attractive appearance. See a very experienced surgeon who can show you closeups of his work.

Jeffrey Joseph, MD, FACS · Answer

You can do a lateral or temporal browlift by choosing a subcutaneous browlift.   This incision is made just inside the fine hairs of the scalp and elevates the middle and tail of the brow.

Can temporal brow lift scars be placed on the hairline rather than within the hair?

Answers (7)

Answer: Natural Browlift without a noticeable scar!

Answer: Natural Browlift without a noticeable scar!

Answer: Temporal browlift

Answer: Temporal browlift

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Everything you need to know about Brow Lift

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Can temporal brow lift scars be placed on the hairline rather than within the hair?

Answers (7)

Answer: Natural Browlift without a noticeable scar!

Answer: Natural Browlift without a noticeable scar!

Answer: Temporal browlift

Answer: Temporal browlift

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.