Coronal

Once considered standard, the coronal Endoscopic Forehead Lift is being used less often than it once was. It involves an incision that goes from ear to ear across the top of the head.The surgeon may remove up to an inch of the scalp, raising the brow.This is definitely not the recommended procedure for men who have receding hairlines or who are balding, or for anyone with a high forehead, since it tends to raise the hairline even further.

Pretrichial or Trichophytic

If you have a high forehead, your surgeon might prefer using a pretrichial (or anterior hairline) incision, which is just in front of the hairline. An advantage to this procedure is that a high hairline can be lowered. The surgeon has another option - a trichophytic incision, which is made a few millimeters inside the hairline using beveled incision through which the hair can regrow. This technique can preserve or in some cases lower the hairline, but there is a risk of visible scarring and permanent numbness.

Midforehead

Sometimes, in male patients especially, the surgeon may place the incision in one of the forehead's deep horizontal furrows. Although this type of procedure is not used as frequently as other approaches, it may work well for a bald man, who is not able to conceal incision scars on top of the head.

Temporal

In this procedure, small diamond-shape temporal incisions are made at the hairline on either side of the forehead.This p ro cedure, also called a lateral Endoscopic Forehead Lift, may not be as extensive as a co ro nal or pretrichial incision, but scars can be well hidden in most patients.There is a lower risk of numbness. Improvement might not last as long as with other approaches.

Direct

The direct Endoscopic Forehead Lift may be used in men whose eyebrows are heavy enough to hide scars.This is a relatively simple procedure in which skin just above the eyebrows is removed. This is rarely done because scars are almost certainly visible to some extent, and because the procedure may feminize the male brow by giving it a more "straight across" look, which resembles a plucked brow.

Are You a Candidate?

Endoscopic Forehead Lift candidates can be any age, though most are between forty and seventy. Some people are born with a hereditary low browline, which can become unattractive once the skin is no longer taut and smooth. These people may decide to have Endoscopic Forehead Lift surgery early, even in their thirties.

What signs should you look for if you're considering a Endoscopic Forehead Lift? The procedure can improve a sagging forehead, which often contributes to sagging upper eyelids, low brows too close to the eyes, frown lines or deep forehead furrows, and a weary, sad, or angry appearance. Don't rule out a Endoscopic Forehead Lift if you're bald, you have a high forehead, or you've already had eyelid surgery. There are many approaches your doctor can choose from, some more conservative than others, but still effective.

[back][next]